Clinical Electives in Anglophone Settings

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UGME Education - UGME

Electives - UGME

Elective Opportunities - UGME

Clinical Electives in Anglophone Settings

Below is a list of the clinical electives offered in English to University of Ottawa students.

For all year 4 elective opportunities please consult the AFMC student portal.

Guidelines

The Department of Critical Care is committed to providing a practical, hands-on approach in the care of the acutely ill. We accept electives of 2 to 4 weeks in length. Electives are granted on a first come first serve basis, however elective requests will not be processed until after the 4^th Year Mandatory Internal Medicine Rotation schedule has been distributed in the spring. Residents from Anesthesia, Internal Medicine, Emergency, Family Medicine and all Surgical Programs rotate through the Intensive Care Units at varying times during their training. This, combined with the daily teaching and excellent nursing and support staff, helps to make the ICU rotation one of the most sought after electives at The Ottawa Hospital.

We are committed to accepting our full complement of students during the 4^th Year Mandatory Internal Medicine rotations that run from the middle of November until the end of March, and we are usually unable to accept electives during that time. If you have requested Critical Care in your 4^th year Internal Medicine rotation, please dont schedule an elective unless you are truly interested in two Critical Care rotations in your 4^th year. In this way we can accommodate all students interested in Critical Care.

As Critical Care is a very popular rotation, it is important that students commit to the elective, and if for some reason they must cancel, at least 4 weeks notice is required.

While in the units, the students are part of the multidisciplinary team and are expected to take responsibility for patient care. They are also expected to take supervised in-house call alongside senior residents, including weekends. The amount of call will vary depending on the number of junior (PGY1) residents we have at that time, but no more than 1:4 call will be assigned.

Attire should be professional-casual. If you have a lab coat you are welcome to wear it, however we do not provide them.

Residents rotate on a 4 week block schedule and our call schedules are set accordingly.

Call schedules are completed and distributed 2 weeks prior to the beginning of the new block. Requests for no call days need to be made at least 3 weeks before the beginning of the block.

The Critical Care Fellows rotate on a monthly basis and there is usually one or two on duty in the unit at any given time. Students are expected to report to the Fellows. If a fellow is not assigned during your rotation, then you are to report directly to the Intensivist on duty.

You are responsible for having your evaluation completed by a Critical Care staff physician at the end of your rotation. If there is no fellow assigned to the unit during your elective, please ask the most intensivist with whom you have had the most contact with to complete the evaluation.

Your feedback is important to us. Please take the time to complete the Evaluation of Your Rotation form at the end of your elective. With your assistance we can continue to improve the elective experience for medical students and residents.

Pre-Clerkship Elective in the Emergency Medicine Department

Pre-Clerkship electives will only occur from March to July of each academic year, due to the high volume of senior electives from August to February. Application process will run from October 1-7 of each academic year. Students will receive an email from the EMIG president approximately late September advising of the process, as students must apply via a google form indicating specifics timeframes. Instructions will be clearly indicated on the notification email from the EMIG president.

The selection will be done through a «lottery system». Students may not contact the physicians directly, going through "back door" or self-schedule in such manners, as this is to ensure proper staffing in the Emergency Department, and to promote transparency and fairness in the process.

The students will shadow a staff physician or senior resident. They typically will not see patients by themselves or perform procedures on patients. Students must apply 4 months ahead of their requested time period. Due to the high demand for learners in the ED, the students cannot be guaranteed any particular time period in advance. Students will receive notification 4 weeks in advanced if they have a spot which will include scheduling instructions.

Goals:

To introduce the student to the clinical discipline of Emergency Medicine.
To introduce the student to the working environment of the ED.
To introduce the student to the unique nature of Emergency Medicine practice.

concise histories and physical exams
simultaneous patient evaluation and treatment
triage-distinguishing serious patients from those with minor complaints

The DEM will offer 2 types of electives:

Mandatory 2^ndyear observership:

This will occur within the students Mandatory week or Spring break time as per academic schedule
This will last 20 hours for 2^nd year students only.
The length of each shift will not exceed 4 hours.
There will be a maximum of 2 students at 1 site at any time
The shifts can occur during the day, evening, or weekend.
The first 8 applicants will be offered a spot in EM first.
The shifts will be assigned by the Undergraduate Coordinator, Margaret King. Students will receive a schedule 1-2 weeks before the start date.

Non Mandatory 1^st and 2^nd year observership:

1^st year students: 10 hours
2^nd year students: 10 hours
Each shift length will be 4 hours in duration.
Students will be matched with either a senior resident or staff.
The observership with the resident and student must be completed within the 1 month block of the resident.
The observership with the staff may be completed over a 1-2 month period.
The first 20 applicants will be offered a spot in EM first. Depending on staffing availability, it is possible there will be other openings which will be determined in February.
The student and staff/resident will be notified of a pairing for an observership. The student will then contact the staff/resident by email to arrange a schedule. Staff physicians must ensure they do not book the junior observer when they will be supervising a clinical clerk. (Staff will receive a clinical clerk schedule from Margaret King.)
Staff and residents must ensure that the junior observer does not slow down patient care or flow in the emergency department.
The student schedule will be set based on the schedule and availability of the resident and staff.

Evaluations:

The student will receive an evaluation at the end of their elective. The students are also expected to evaluate the elective and must send this evaluation to Ms. Margaret King before they will be credited for the elective. Students must bring an evaluation form during their final shift of the elective.

Cancelling an Elective:

After the student is notified of an elective, they must contact the staff or resident they have been paired with to set the schedule during the subsequent month. If the student is unable to do the elective within the following month, they must notify Margaret King immediately, who will assign another student to the elective.

The Ontario Ministry of Health and Long-Term Care designates the Genetic Program located at the Children’s Hospital of Eastern Ontario (CHEO) as one of several regional centers in the province for genetic assessment, diagnosis, counselling, and testing. The program offers clinical, biochemical, cytogentics and molecular genetic diagnostic services. It is also the site of the Newborn Screening Ontario Program. The mandate of the Genetics Program is to provide clinical and laboratory services through all stages of life, including preconception, prenatal, pediatric, and adult. Therefore, the trainee will be exposed to patients of all ages.

The clinical service includes:

Counselling about options for prenatal diagnosis.
Counselling related to the significance of prenatal ultrasound and prenatal screening findings.
Counselling related to a family history of a genetic condition and the availability of carrier testing.
Counselling related to a personal or family history of cancer such as those suggestive of familial breast/ovarian or familial colon cancer syndromes.
The assessment and diagnosis of complex referrals related to syndromes, inborn errors of metabolism and congenital malformations.
The assessment and diagnosis of neurogenetic disorders.

The laboratory service includes:

Genetics Diagnostic Laboratory; which provides Cytogenetic and Molecular Genetic testing such as chromosome analysis, microarray analysis, FISH testing and more than 15 identified genetic disorders including Inherited Cardiomyopathies and FSHD.
The Biochemical Genetics Laboratory provides testing for the Genetic Metabolic Disease Program.
The Newborn Screening Ontario Program provides screening for approximately 30 disorders to all babies born in the province.

Clinical Genetics Rotation

Objectives:

To learn an approach to the patients with genetic/metabolic diseases.
To learn a genetic framework for family history taking and pedigree drawing.
To learn how to conduct a dysmorphology examination.
To learn communication and counselling skills.
To learn the indications for a genetics referral.

Description:

The student will gain experience in clinical genetics, cancer genetics, dysmorphology, metabolic disease, prenatal screening and prenatal diagnosis. They will spend time with physicians and genetic counsellors. Students will learn how to obtain and record a detailed family history, perform a thorough dysmorphology examination and apply the principles learned during their didactic courses.

Please note: this elective should be requested as early as possible as there is high demand.

Contact: Melanie McKerral
Location: Clinic Wc-2, 3 rd floor, Max Keeping Wing, CHEO
Available for: 1^st and 2^nd Year Students; 4 week minimum observer-ship
No. of Students: 5-10/year, 1 at a time

Summer research studentships may be available and should be discussed with potential mentors as early as possible.

WELCOME TO THE EYE INSTITUTE

Welcome to the Department of Ophthalmology at the University of Ottawa Eye Institute. The staff of the institute is committed to making your time with us as rewarding as possible. We are all at your service. Ask questions, learn, and enjoy.

The majority of your day will be spent in clinics. There are both subspecialty clinics and general ophthalmology clinics. Make the best of your clinic experience. Make notes on any interesting patients you see in the clinic and read about that topic at night. This would be a good time to ask any "burning" questions which have not been answered during the week.

Try to acquire a new skill daily e.g. taking visual acuity, performing confrontation fields, cover test for strabismus, viewing the macula, taking intra-ocular pressure, etc.

Our clinic teams are led by the attending and different staff may prefer you to work with a resident or to pre-select charts for you depending on their preference, the busyness of clinic and the number of residents present. So please introduce yourself to the supervising attending prior to assessing any patients and ask them to clarify what role they would like you to play. When working up a patient please do follow through and review this patient with staff (or their delegate) prior to commencing with another patient. Following these two simple steps will allow you to hit the ground running as an integral member of our clinic team.

Surgery will be going on daily in the Eye Institute and you are welcome to attend any surgical procedures which are of special interest to you.

General Objectives

The student should be able to:

Perform the basic elements of an ophthalmic history and physical.
Distinguish between the emergency vs. non-emergency ophthalmic presentation.
Distinguish between ocular diseases which can be managed by the primary care physician vs. ocular disease which must be referred.
Recognise the ocular signs of systemic disease e.g. hypertension, atherosclerosis, diabetes mellitus, thyroid disease.
Be conversant with the systemic implications of ocular disease e.g. iritis, endophthalmitis, ocular motor palsy, visual loss, ischemic ocular syndromes.
Be aware of the implications of congenital and childhood strabismus and amblyopia.

Undergraduate Electives in the Department of Pathology and Laboratory Medicine

Electives are currently offered for medical students in the Divisions of Anatomical Pathology, Hematology, Biochemistry, and Microbiology. When requesting an elective, students should state which Division they are interested in visiting.

First and second year medical students from the University of Ottawa may request a 10- or 20-hour elective.

Information about 1st year rotation can be found under "Introduction to Anatomical Pathology".

Information about setting up an elective can be found at the bottom of this page.

Anatomical Pathology

Anatomical Pathology is an area of medicine dedicated to the study of health and disease through the examination of human tissue. Physicians in Anatomical Pathology are specialist medical doctors who contribute to all aspects of patient care. Anatomical Pathology includes a wide range of subspecialties including dermatopathology, gynecological pathology, breast pathology, head and neck pathology, thoracic pathology, genitourinary pathology, cardiac pathology, and neuropathology.

Elective students visiting the Division of Anatomical Pathology will be exposed to a variety of subspecialties. Students will spend time with both staff pathologists and residents reviewing cases in the gross room and at the microscope. In addition, students will also spend time on the intraoperative consultation service and the medical or forensic autopsy service.

Electives in Anatomical Pathology are available for medical students in years 1 through 4.

Pediatric Pathology

Pediatric pathology is a subspecialty of anatomic pathology. The main goals of elective rotation are to become familiar with the basics of pediatric and perinatal pathology. At the end of the elective, the student will be able to recognize specimens that belong to the field of pediatric and perinatal pathology. The secondary aim is to allow the student to develop an understanding for the role of pathologists in an integrated health care delivery system and to be aware of the issues in health care management facing patients and physicians.

A rotation in Pediatric Pathology will provide the student with exposure to a variety of cases including blue round cell tumors, bone tumors, pediatric GI, and placentas. Students will also be able to participate in pediatric and fetal autopsies. The supervising pediatric pathologist(s) will help guide the student in gross and microscopic examination and will encourage the student to interpret the pathology findings in the clinical context. If interested, the student will also be provided with a brief walk through on pathology reporting.

Standard text books in pediatric and perinatal pathology are available for use by students. In addition, the supervising pathologist will guide and will work with the student on using the literature to solve specific problems that are pertinent to each case.

The Pediatric Pathology department is very active in research. Research opportunities are offered to rotating students, if they are interested.

Electives in Pediatric Pathology are available for medical students in years 1 through 4.

Hematological Pathology

Objectives: At the completion of the elective, the student will be able to recognize significant hematological processes on peripheral blood films and bone marrows. As well, the student will have an appreciation of the role of the transfusion medicine laboratory and coagulation laboratory in patient care in a tertiary teaching hospital.

Description: The student will examine blood films and marrows on patients seen at the hospital. Instruction will be both by attendance at rounds (lymphoma rounds, leukemia rounds, consensus rounds) and by participation in the daily sign-out of peripheral blood and marrows, at a double-headed or multiheaded microscope. Emphasis will be on the recognition of anemia, leukemia and platelet disorders, their courses and further investigations. A half-day introducing to the transfusion medicine laboratory and coagulation laboratory will also be available for interested students.

Electives in Hematological Pathology and Transfusion Medicine are available for medical students in years 1 through 4.

For Hematological Pathology Elective for medical student at the University of Ottawa, please complete this application form (pdf, 111.16 KB)

Biochemistry

Clinical Biochemistry is the division of laboratory medicine that deals with the measurement of chemicals (both natural and unnatural) in blood, urine and other body fluids. These test results are useful for detecting health problems, determining prognosis and guiding the therapy of a patient. As many as 60% of clinical decisions are made based on laboratory test results, the majority of which are Biochemistry.

Clinical Biochemists are PhD level scientists with specialized post-doctoral training in laboratory medicine. All hold certification from the Canadian Academy of Clinical Biochemistry or equivalent.

The purpose of this introductory elective is to provide medical trainees with an overview of activities occurring in a teaching-hospital based Biochemistry laboratory. Students will be exposed to the four main areas of the Laboratory testing process: pre-analytical, analytical, post-analytical and Point-of-Care testing (POCT). Students will also be introduced to contemporary issues facing the clinical laboratory, such as test utilization initiatives, automation, quality assurance, standardization and regulatory requirements.

For Biochemistry Elective for medical student at the University of Ottawa, please complete this application_form_introduction_to_biochemistry_1st-2_year.pdf (pdf, 95.94 KB)

How to set up an elective

If you are a first- or second-year (pre-clerkship) medical student at University of Ottawa and would like to request an elective in our Department, please complete this application form (pdf, 114.77 KB) .

Ottawa Public Health

Objective:

To gain knowledge of the programs and services delivered by Ottawa Public Health (OPH) that address public health issues affecting residents of Ottawa..

Description:

Ottawa Public Health (OPH) provides public health programs and services to individuals, families and communities in Ottawa while advocating for public health policies that makes our city and its residents healthier.

Under the supervision of an Associate Medical Officer of Health (AMOH), the learner will be exposed to the breadth of programs and services offered by Ottawa Public Health (OPH) in the areas of health promotion, health protection, disease prevention and surveillance. The learner will engage in scheduled field observation activities and meetings with a variety of OPH programs (e.g. Dental screening, Sexual Health Center, Immunization, etc.) and will learn how OPH creates a healthy and safe community that enhances the quality of life of its residents. (Note that the learner is not involved in direct patient care during this elective.)

The learner will participate in weekly teaching sessions with the AMOH and public health residents to discuss public health medicine and related issues. In addition, the learner will attend weekly Public Health and Preventive Medicine residency program Academic Half Days at the University.

The learner must complete mandatory e-learning modules (e.g. Accessibility, Baby-Friendly Initiative, Hand Hygiene, etc.) prior to commencing the elective. Once the elective is officially confirmed, the learner will be given information on how to access these modules.

Supervisor: Associate Medical Officer of Health
Location: Ottawa Public Health - 100 Constellation Dr. and Community
Duration: Consecutive 2-week elective. See 2019 calendar. See 2020 calendar.
No. of Learners: maximum of 2 learners each month

Note: Apply at least 3 months in advance to the elective start date. Students must meet pre-clinical requirements (immunization, Flu vaccine, Police record check to be eligible for placement.

For more information and to apply, please visit Ottawa Public Health.

Introduction to Diagnostic Imaging / Radiological Sciences

The Department of Radiology recognizes undergraduate student groups who wish to apply for observatory electives during their second year.

The Department of Radiology accepts all third year medical students for a one week Clerkship rotation.

The Department also recognizes undergraduate students in their fourth year who wish to apply for a two week elective.

No electives are offered to Y1 uOttawa students.

Year 2 uOttawa Students:

Y2 observatory elective requests must be submitted to the coordinator at the Diagnostic Imaging Undergraduate Education office by email, informing her of the area(s) of interest (MSK, Chest, Neuro and Abdominal imaging) and the preceptor of choice.

If the preceptor of choice is available, the student will be assigned to that preceptor. If not, then the coordinator will assign the student another preceptor in the same area of interest when possible.

The coordinator will then contact the preceptor and the student and advise them that they will be responsible for finding times to complete a ten or twenty hour observership over the next 6 months.

Please note that the observership will allow the student to shadow the preceptor during his/her hours of work but will NOT involve specific teaching. The purpose behind the observership is to give the student an idea of how the department works and what a radiologists day is like.

At the end of the observership, the student will have the Preceptor fill out the Y2 Observatory Elective Evaluation Form and hand it back to the coordinator. It is the students responsibility to have the internal Evaluation Form completed by the Preceptor and returned to the coordinator.
Student must register their elective in their CP account using Dr. Carolina Souza's name.

The Undergraduate Education Director will review the internal evaluation and fill/sign out the uOttawa Pre-Clerkship Elective form.

The completed uOttawa Pre-Clerkship Elective form is kept on file in the department; and scanned/emailed to the Electives Coordinator at the University of Ottawa with a copy to the student.

Undergraduate Director, Diagnostic Imaging: Dr. Carolina Souza

Clinical Radiation Oncology

Objectives:

To introduce the student to a multidisciplinary cancer care setting, with an emphasis on the role of radiotherapy in the curative management of cancer.

Description:

To introduce the student to the multidisciplinary approach to cancer care in a variety of tumour sites. Students will be involved in outpatient clinics only. They will become familiar with the staging and investigation of cancer and cancer-related problems, including intra-operative assessments and procedures. In addition, they will have the opportunity to be introduced to the "behind the scenes" treatment planning, simulation, and delivery of curative radiotherapy.

Director: Dr. Choan E
Location: The Ottawa Hospital Cancer Centre
Duration: any duration to a maximum of 4 weeks
No. of Students: 2
Available for: 1st and 2nd years

Children's Hospital of Eastern Ontario (CHEO)

Guidelines for Electives

Pre-clerkship Students from University of Ottawa:

First and second year students from the University of Ottawa must consult the password protected Contact list of the different divisions in Ottawa (found on the Electives Website) to find out the name of the coordinator they should request elective availabilities to participate in their elective.
Once a student has decided area(s) they would like to participate in a 10 hour observership, they are asked to review their course calendar and submit to the department coordinator a list of specific dates, and times on each date they are available (i.e. Monday, February 10th from 1300 1630, Wednesday, February 12th from 1300 1630, etc.).
If area the student has chosen is booked up or has received a lot of requests, the department coordinator will let student know, and will ask if they would like to participate in an elective in another area, or would be willing to take anything she can find for the times they are available.
The department coordinator will then send an email to the admin for the department student has chosen/is available, and will let the student know which department she is waiting to hear back from. The department coordinator will also ask the student to contact her by email if they have not heard back from her in 2 weeks time so that she can follow up with the department she sent the request off to.
Once elective is officially confirmed, the student should then contact the supervisor of their elective to go over their elective objectives prior to commencing the elective.

CLINICAL PLACEMENTS AT CHEO – MANDATORY TRAINING REQUIREMENTS AND STUDENT ENTRANCE SCREEN

As a medical student completing clinical placements at CHEO, it is vital that you complete your mandatory training requirements. This training ensures your health and safety, as well as the safety of our patients, customers and co-workers. Whether you are here for only a few days or for months, it is essential that you complete the following:

Microsoft Edge is the recommended browser for this training

Hand Hygiene and PPE – Make it Routine (every two years)

How to Don and Doff PPE

CHEO: Privacy and You (must be completed annually)

The expectation is that you will have completed them PRIOR TO commencing your clinical placement so please complete ASAP and email the admin at CHEO, you arranged the observership with, a screenshot of the PPE (results) and the Privacy (checklist and completion pages), as well as retain these reports for your records. Failure to complete prior will delay your ability to start your scheduled placement.

As well, when coming to CHEO for your scheduled observerhip you will come into CHEO utilizing the Main Entrance (do not use the LINK between the University and CHEO) and note that you must complete the CHEO hospital entrance screen each day you report to CHEO for all of your scheduled observerships. CHEO’s entrance screen is Staff Entrance Screen for COVID-19 (cheori.org) ---complete the Learner/Student/Resident/Instructors screen.

IT IS THE STUDENTS' RESPONSIBILITY TO FORWARD THEIR ONLINE EVALUATION TO THEIR PRECEPTOR AT THE END OF THE ELECTIVE.

General Internal Medicine Elective

Thank you for your interest on partaking an elective in the General Internal Medicine. Please consult the information below to organize your stay with us.

Where to go

On your first day, please ensure to arrive at 8:00am for the morning report at the campus you’ve been assigned to:

Civic Campus

On the fifth floor in the B567 Conference room (code for the door is 2-4-5) and introduce yourself to the chief resident.

General Campus

On the fifth floor in room 5312 (code for the door is 5-3-1-2-4) and introduce yourself to the chief resident.

Pagers

We will lend you a pager for the duration of your elective; if the pager is broken, not returned or lost, you will be required to pay $45 to replace it.

We will take care of notifying and locating the chief resident of your pager number.

Please go to the EDUCATION OFFICE the first morning for a pager.

CIVIC Campus:

EDUCATION OFFICE - CIVIC CAMPUS (7:00 am - 3:00 pm)
The Ottawa Hospital - Civic Campus
Parkdale Clinic Building (737 Parkdale)
1^st floor, Room R159
Tel: 613-798-5555 ext: 18723

General Campus: Matthew will be meeting with you before morning report
EDUCATION OFFICE - GENERAL CAMPUS
The Ottawa Hospital - General Campus
501 Smyth Road
Main floor Executive Suites Room M1845a
Tel: 613-737-8900

ID

Please wear your own university badge. Lab coats are typically worn by most staff, residents and medical students here at TOH.

You can get a TOH access card with a returnable deposit of $15 at the Photo ID office:

General Campus:
Open 7:00 am - 3:00 pm (closed 12:00-1:00 pm for lunch)
Located on the 2^nd Floor - Room M2407 - ext. 71380

Civic Campus:
Open 7:00 am - 3:00 pm (closed 12:00-1:00 pm for lunch)
Located on the main floor in the security office - Room DM 181A - ext. 18061TACS team offers training at our Library Services sessions which are located at:

General Campus: Library, room W1230, between 11:00 am - 13:00 pm every Tuesday.
Civic Campus: Old Services Building, Room 218, between 11:00 am - 13:00 pm every Wednesday.

Library

Civic Campus, D104, 798-5555 ext. 14450
General Campus, Room W1230, 1^st floor, 737-8899 ext. 78530

Students have access to books in the Ottawa Hospital Library.

Call

CTU: You are expected to do call until 11:00 PM. If you are not on the call schedule you should speak with your staff and the chief to organize.

CT: You are not expected to do call. However, if you indicated to us that you want to, and you were not scheduled, you should speak with your staff and chief to organize.

The call schedule will be shared with you with the Orientation email.

Parking

General Campus 737-8899 ext. 71380
Civic Campus 798-5555 ext. 18061

Lockers

Medical Students will need to provide the Medical Education Office at The Ottawa Hospital with the exact start and end dates and the specific clinical service(s) of their elective(s) at TOH in order to be assigned a locker. Locker requests should be submitted only one week prior to the start of their TOH rotations. Due to capacity issues, lockers will NOT be assigned to Medical Students before start of elective.

Medical Students will simply need to submit their requests to [email protected] and [email protected]. We will also provide all combination locks and will maintain accordingly. Please note that the medical students will need to empty the lockers at the end of each TOH placement otherwise all their personal belongings will be removed.

Location:

Civic Campus: The lockers are located in the hallway of B1 South;
General Campus: The lockers are located behind Module G on the 2nd floor.

Overall Objectives

To gain a basic understanding of common problems encountered by the Plastic surgeon, including their relevant presentation, pathophysiology, investigations and management.

Specific Objectives

The following is a list of common problems seen by the plastic surgeon. For each problem listed by the end of your rotation, you should be familiar with their clinical presentation, pathophysiology indicated investigations and basic management.

Elective hand and peripheral nerve diseases: Dupuytrens Contracture, Trigger finger, Carpal tunnel Syndrome, Cubital Tunnel syndrome, Tumors of the hand, arthritis
Emergency Hand and nerve diseases: Tendon lacerations, infections, fractures, amputations, nerve injuries
Benign and malignant skin lesions: cysts, lipomas, nevi; basal cell, squameous cell, malignant melanomas
Facial trauma: soft tissue and musculoskeletal
Burns
Acute and chronic wound care
Post-traumatic and cancer reconstruction: breast cancer, head and neck, upper-extremity, lower-extremity, chest wall, hand
Microsurgery for nerve, vessel and flap reconstruction

Important Information About the Rotation

Ambulatory clinics are held by one or two plastic surgeons on Wednesdays and Fridays beginning at 0830, Module K at the Ottawa General Hospital.
Operating rooms for plastic surgery run most M, T, T, F beginning every morning at 0800, at the General or Riverside Hospitals. Check with the main OR desk for specific surgeon's room assignment or case list. Call 78409.
The Divisions of Plastic Surgery and Orthopedics conducts didactic teaching rounds on upper extremity issues every Friday morning. These are usually held at 0715 in the Conference Room Othopedics ward 6 th floor OGH, but check the schedule to confirm.
National Capital Society Meetings are held monthly with an opportunity to present a seminal or research project. Please check schedule to confirm and arrange with the research coordinator Dr Rockwell. 613-736-6555.
Ward rounds to be arranged with the on-service resident through locating at 78222.

Rotation recommendations

For 2 week rotations, spend at least 4 out of your 10 days in clinic. Clinic provides the opportunity to see and review many patients with a plastic surgeon.
Before going to clinic in the morning and after clinic is completed in the early afternoon, return to the wards to round with the team. This will give you the opportunity to see more acute problems that have required hospitalization or see clinic patients who have been brought in for elective surgery.
Try hard to get to the operating room to see surgeries and learn technical skills.
Attend all scheduled rounds .
Location: The Ottawa Hospital, General Campus; and CHEO
Duration: 2 4 weeks
No. of Students: 1-2
Available for: 1st and 2nd year students

Evaluation

Evaluations will be based on your attendance, enthusiasm and willingness to learn and participate in day to day activities while rotating through plastic surgery..

References

The following is a list of reference information:

Plastic Surgery (section for students and residents)
- Information about procedures
- Red Plastics Handbook for Students e-version
eMedicine
- Plastic Surgery, Hand Surgery, Dermatology Sections

Most topics covered in detail

Grab & Smith Textbook of Plastic Surgery (available in the library)
General Basic Plastics Text

The number of students at any one time is limited in order to enhance learning. Students are encouraged to book electives as far in advance as possible as they will be assigned on a first come, first served basis.

Pre-clerkship Students

Useful links:

Cardiology Elective Information for 1^st and 2^nd Year uOttawa Medical Students (PDF)

List of Doctors for uOttawa Pre-Clerkship Medical Student electives (PDF)

1. Cardiovascular Diagnosis Elective

Objectives:

To develop the skills required in order to elicit a pertinent cardiovascular history and the relevant physical examination findings in patients with cardiovascular disease;
To integrate normal and abnormal anatomy and physiology into the clinical setting;
To learn about the diagnostic tools available for the evaluation of cardiac patients.

Description:

The elective spans four weeks during the Cardiology content of Unit 1 of the first-year medical curriculum at the University of Ottawa. Each week, a different patient will be interviewed and examined by a cardiologist. Students will use stethophones to hear the patients heart sounds, both normal and abnormal. The relevant pathophysiology will be discussed as will some of the tools (e.g. ECG, echocardiogram, cardiac catheterization, etc) that can be used to further evaluate the patients problems. A sign-up sheet will be circulated by the Undergraduate Medical Office during the month of December.

Available to:	First year medical students at the University of Ottawa
Time:	14:00-15:30 or 15:30-17:00 on Friday afternoons in January
Location:	Foustanellas Auditorium, University of Ottawa Heart Institute
Supervisor:	Dr. Kwan Chan

2. Self-Arranged Mini-Electives

Objectives:

To explore the field of cardiology through exposure to the practice of a staff cardiologist or senior cardiology resident or fellow.

Description:

Students will arrange to shadow a preceptor, ideally through a cross-section of his or her clinical responsibilities. Students may be involved in patient encounters in the ambulatory care clinics, on in-patient wards or in the coronary care unit, or be exposed to specialized diagnostic procedures or treatments, including echocardiography, nuclear testing, cardiac catheterization and electrophysiology studies.

Available to:	First and second year medical students at the University of Ottawa
Time:	Minimum 10 hours
Location:	University of Ottawa Heart Institute or Ottawa Hospital, General Campus
Supervisor:	Students are encouraged to contact individual preceptors with whom they would like to work.

Electives will only occur from September to June due to the high volume of senior electives. The students will shadow a staff physician in their clinics.

They typically will not see patients by themselves or perform procedures on patients. Students must apply 2 months ahead of their requested time period. Due to the high demand for learners, the students cannot be guaranteed any particular time period in advance. Please look over the policy carefully to ensure that you have the requirements needed to process your application.

Goals:

1) To introduce the student to the clinical discipline of General Internal Medicine.

2) To introduce the student to the working environment of the GIM

3) To introduce the student to the unique nature of General Internal Medicine practice:

concise histories and physical exams
simultaneous patient evaluation and treatment
triage-distinguishing serious patients from those with minor complaints

Objectives:

To provide the student with the opportunity to gain experience in assessing a wide range of clinical problems seen in a teaching hospital;
To improve the student's ability to take an accurate and concise history and physical exam in the undifferentiated patient;
To improve the student's ability to develop a differential diagnosis, investigation plan, treatment, and disposition of the undifferentiated patient;
To improve the student's technical skills in providing patient care in GIM.
To improve communication, collaboration, and professional skills required for patient care in GIM.

Location:

Ottawa Hospital Riverside, Civic or General Campus

Policy:

Elective can be of a duration of 10 to 20 hours.
The length of each shift will not exceed 4 hours.
There will be a maximum of 1 student at 1 site at any time.
The clinics occur during the day, there are no evenings, or weekend clinics.
The shifts will be assigned by the Division Head Secretary.

Cancelling an Elective:

If the student is unable to do the elective within the following month, they must notify the Division Head Secretary immediately, who will assign another student to the elective.

Elective Medical Student Guidelines for Clinical Shifts:

Please arrive promptly and dress appropriately and conservatively. (no jeans, short skirts, sandals, logo t-shirts, bare midriffs, low cut tops or shirts).
Students should have lab coats and student ID.
Before you start your shift, introduce yourself to your staff.
Discuss goals for the shifts and preceptor expectations.

Objectives:

The Division of Hematologys mission statement is to provide world-leading patient care, medical education and research in our two predominant programs of malignant hematology and thrombosis/hemostasis. Hematology is the field of Internal Medicine that includes the study, diagnosis and treatment of diseases of the blood. Hematologists evaluate and treat patients with anemia, thrombocytopenia, enlarged lymph nodes or spleen, bleeding and clotting disorders, and other abnormalities of the blood. Hematologists manage chemotherapy for the treatment of hematologic malignancies. They prescribe blood product administration and removal of excess blood components as needed for a variety of blood disorders. Hematologists also prescribe anticoagulants, antiplatelet agents, immunosuppressive, growth factor, and biological therapy for benign and malignant blood disorders. Bone marrow and stem cell transplants are considered part of the specialty of hematology.

Our Division of Hematology at The Ottawa Hospital is a multi-disciplinary team of physicians, advanced practice nurses, nurse practitioners, liaison nurses, pharmacists, MBAs, social workers, MSc trained research associates, genetic counsellor and RN research associates. We work closely with the Division of Hematopathology. We provide core training in hematology to hematopathology trainees, internal medicine trainees, and provide electives for trainees in any other Royal College certified program. Research projects for trainees are always available and we provide summer research projects for medical students, undergraduate and postgraduate trainees.

Description:

1. The Blood and Marrow Transplant Program

The Blood and Marrow Transplant Program is a multi-disciplinary group that provides transplant care for patients from around the world. Clinics currently run daily. Between 90 and 120 transplantations are performed per year.

2. Leukemia Therapy and Research Program

We offer comprehensive care for patients with acute and chronic leukemia. This program is integrated into our Blood and Marrow Transplant Program. Clinics are run two days per week for patients with acute leukemia research.

3. Lymphoma Program

This program also integrates closely with the Blood and Marrow Transplant Program, as a number of patients with lymphoma will require transplantation.

4. The Thrombosis and Hemostasis Program

The Thrombosis and Hemostasis Program runs on both campuses of the Ottawa Hospital. Currently, at the Civic Campus, we offer clinics five days per week for trainees to attend. There are also clinics on the weekends from 10 am to 2 pm. These clinics offer all ranges of services in the area of thrombotic diseases. We evaluate patients with suspected DVT and pulmonary embolism, patients with suspected hypercoagulable states, we treat new venous thromboembolic events, post-phlebitic syndrome, superficial phlebitis and we provide prophylaxis advice and intervention for high risk patients during pregnancy and in the post-partum period and in the post-operative period. We provide management of patients on chronic oral anticoagulant therapy who require bridging over time of operative procedures, and we provide an oral anticoagulation clinic.

The hemostasis part of the program includes the running of the Eastern Ontario Regional Hemophilia Program which operates out of our General Campus and provides service to hemophilia patients with a multi-disciplinary clinic involving rheumatologists, physiotherapists, orthopedic surgeon, nursing and hematology once per month.

5. General Hematology Program

Most of the members of our Division remain very active in clinical care of patients with general hematological disorders. All of the general hematological problems are looked after in clinics that take place almost every day. We, of course, offer a consultation service in the hospital, for patients with general hematological disorders. We offer electives / selectives for students and residents in this area. The rotation through our Hematology program for Internal Medicine trainees is either a ward or a consultative and ambulatory care General and Malignant Hematology exposure.

Student Electives:

For first and second year medical students, short electives are offered. This will mainly include attending general hematology clinics, with an option to attend some of the subspecialty clinics depending on availability. Most clinics are currently held in the am, and therefore many pre-clerkship students choose to do rotations with us during their summer months. There is also the option to organize short electives with individual CBL tutors during hematology block.

Haematology Rotation Supervisor: Dr. Carol Gonsalves
Location: The Ottawa Hospital, General Campus or Civic Campus.
No. of Students: Maximum of three (3) third or fourth year students at a time.

Infectious disease is a clinical sub-specialty that focuses on the presentation, treatment and laboratory diagnosis of microbial infections.

Research in Infectious Diseases

Objectives:

The student will perform a research project in association with a designated Infectious Disease faculty member.

Description:

The Division of Infectious Disease is active in several research areas. Clinical research is antimicrobial therapy: Comparing and assessing new treatments in Infectious Disease and AIDS.
Basic science research: Laboratory based research in trichomoniasis, chancroid and HTV.
Pharmacokinetics Research: Study of drug interaction and antimicrobial kinetics.
Individualized electives will be arranged for interested students. For first and second year students this could entail spending 1 afternoon/week on a chart review to look at patient outcome and performing simple statistical analysis. For third and fourth year students or as a summer project, a student could elect to spend 8-12 weeks in one of the basic science labs performing experiments under supervision. Students are encouraged to discuss these interests with the faculty so that special arrangements can be made.
Supervisor(s): Dr. G.E. Garber; Dr. B. Cameron; Dr. C. Lee; Dr. C. Cooper ; Dr. J. Angel
Location: The Ottawa Hospital, General Campus
Duration: 8 weeks
No. of Students: 1-2
Available for: 1^st, 2^ndyear students

Management of Infectious Diseases

Objectives:

The student will be exposed to a variety of clinical infectious disease problems and their management and will be exposed to the principles of appropriate antimicrobial utilization.

Description:

In this elective, the student will spend one afternoon/week rounding with the I.D. service. He/she will be exposed to a variety of infectious presentations from sexually transmitted diseases to severe infection in immuno-comprised patients, including those with AIDS. Some time will be reserved for the student to be exposed to the diagnostic microbiology laboratory. The emphasis will be on gaining an appreciation of the interaction between the host and the microbial organism(s) and the approaches to diagnosis and management. The rational use of antibiotics and infection control practices will also be discussed.

Supervisor(s): Dr. G.E. Garber; Dr. B. Cameron; Dr. J. Angel; Dr. C. Cooper; Dr. A. McCarthy; Dr. C. Lee; Dr. V. Roth; Dr. B. Toye
Location: The Ottawa Hospital, General Campus
Duration: 8 weeks
No. of Students: 1-2

Available for: 1^st and 2^nd year students

Nephrology for First and Second Years

Objectives:

To observe a nephrologist at work by accompanying him or her on hospital rounds;
To familiarize oneself with the structure and function of the kidneys through selected readings;
To develop interviewing skills and an understanding of the impact of illness by interviewing a patient with chronic kidney disease undergoing dialysis;
To give a general overview of the research interests and relevance of basic science done in the University of Ottawa Division of Nephrology;

Description:

The student will have the opportunities to do the following:

Spend one 2-3 hour session in an out-patient clinic with a nephrologist, seeing patients with renal disease, possible renal symptoms or other abnormalities, hypertension, etc.
Spend one 2-3 hour session rounding with the nephrologist looking after the chronic hemodialysis unit, with the opportunity to interview a chronic hemodialysis patient and discuss technical and/or medical aspects of hemodialysis.
Spend one 2-3 hour session in the home dialysis unit seeing how peritoneal dialysis is done, with perhaps the opportunity to interview a patient being trained.
Follow along with a nephrologist caring for the in-patient renal service, to get a feel for in-patient nephrology.
Attend informal 2-3 hour classroom type sessions reviewing topics of interest related to nephrology, including a general overview of the kidneys and renal failure.
Depending on commitments of Faculty, perhaps spend 1-2 hours with Drs. Burns and/or Hebert to discuss their research interests and the physiology underlying these interests. Actual observation of experiments may be possible.

Opportunities can be made available for students to interview patients with kidney disease on their own, followed by a brief discussion of the interview with the attending nephrologist.

Supervisors: Ward attentind nephrologist
Location: The Ottawa Hospital, General Campus
Duration: 3 - 6 weeks
No. of Students: 2-3
Available for: 1^st and 2^nd years

Objectives:

To develop communication skills that lead to a therapeutic relationship with patients who are terminally ill and their families.
To experience an interdisciplinary team and a wholistic approach to assessment and management of patients.
To manage symptoms and end-of-life using a palliative approach to care

Description:

During the elective, the student, under the supervision of a Palliative Care Physician, will admit and assist in the care of patients as a member of the interdisciplinary team of professionals and volunteers, or assist in the consultation of admitted patients under other services. Orientation materials and educational sessions are provided. Students are encouraged to consider reflective practice with a focus on personal objectives.

Contact: [email protected]

Location:

Palliative Care Unit - Élisabeth Bruyère Hospital
Inpatient Consults - Ottawa Hospital, General or Civic Campus
Regional Palliative Consultation Team - Community and home visits, based out of Bruyère Hospital

No. of Students: Varies from site to site

NOTE: 1^st and 2^nd year students can do 10 or 20 hour observerships.

Interprofessional Palliative Care Course: An Introduction to Clinical Perspectives (NSG3300E)

A new and exciting elective interprofessional online course!

Learning activities: Over the course of 2 weekend sessions (one at the beginning of the course, and one at the end of the course) students will be introduced to the principles and norms of hospice palliative care, basic approaches to pain and symptom control, grief and bereavement and ethical and legal frameworks for decision making and advance directives at the end of life.

In between these 2 sessions students will participate in award winning interprofessional learning modules that incorporate on-line facilitated discussions, group work and assignments. You will follow two virtual patients and families through complex cases, severe suffering, and care provision in the last hours of life.

Flexible schedule
Innovative learning methods
Sound clinical instruction
Interprofessional dialogue

Suzanne Biagé in the FHS academic secretariat
613-562-5800 x 8062
[email protected]

For more information about the course please contact:

Susan Brajtman, RN PhD
613-562-5800 x 8418
[email protected]

Objectives

By the end of the rotation the clinical clerk should be able to:

Assess a patient from a holistic perspective with an emphasis on the patient's functional limitations;
Demonstrate a basic musculoskeletal and neurological examination;
Participate in patient care as a member of an interdisciplinary team;
Be aware of the care needs of the disabled population. Once they live in community;
Indicate which patients might benefit from a referral to a physiatrist.

Description

This rotation has been structured to ensure students achieve some basic objectives but with sufficient flexibility to allow students to pursue areas of specific interest within physical medicine and rehabilitation. Students have a primary supervisor with whom they spend approximately half of their time. This supervisor is determined by the specific interests expressed by the student. The remainder of their time is spent with one or more secondary supervisors, ensuring a general exposure to physiatry.

Learning methods are varied and may include attendance at clinics, ward rounds, team meetings, and patient therapy sessions, literature searches, and interactive teaching sessions. Evaluation is based on achievement of objectives agreed to by the student and supervisor.

Supervisor(s): Primary supervisors are assigned based on specific areas of interest, although exposure to basic physiatry is available though all supervisors.

Pediatrics: Dr. Anna McCormick
Stroke: Drs. Yang, M. Acharya, H. Finestone
Prosthetics: Dr. N. Dudek
Spinal Cord Injury: Dr. Vidya Sreenivasan
Musculoskeletal: Drs. G. Trudel, G. Wolff, S. Wiebe
Acquired Brain Injury: Dr. S. Marshall

Program Director: Dr. Deanna Quon
Program Assistant: Crystal Adam
Location: The primary supervisors are located at the Rehabilitation Centre or Elizabeth Bruyere Health Centre (EBHC)
Duration: Electives are between 2-4 weeks in duration.
No. of Students: 3 - 4

University of Ottawa Physical Medicine and Rehabilitation

Clerkship Electives Options

The clerkship elective rotation is open to all 3^rd and 4^th year medical students who have completed their clerkship core rotation in Internal Medicine.

Objectives:

Perform comprehensive assessments of clinical history and physical examination for common medical problems
Learn effective verbal and written presentations of clinical assessments
Integrate knowledge of common medical conditions into a plan for diagnosis and treatment.

C/T (Consult/Triage) (final year of undergraduate medical studies)

You will be a member of the medicine consult team which consists of: a staff preceptor from the division of GIM, senior (PGY2 or PGY3) internal medicine residents and off-service residents (PGY 1-3) on elective. The consult team provides consults with recommendations, plan and management to the ER as well as all inpatient services on request.

You will be asked to do 1 to 2 consults per day reviewed by the senior residents and staff preceptors. For in-patient consults you will provide subsequent follow-up assessments with supervision also reviewed by the senior medicine residents and staff preceptor. You will have the opportunity to shadow senior medicine residents for more complex case assessments and procedures.

You may request to do call, usually one per week on a week night, shadowing a senior medicine resident and performing consults in the ER and in-patient.

CTU (Clinical Teaching Unit) (final year of undergraduate medical studies)

CTU provides in-patient medical care for complex patients requiring admission to hospital. You will be a member of one of the medical teams each of which consist of: a staff preceptor from the division of GIM, a senior internal medicine resident (PGY-2), junior residents (PGY1-2), and 3rd year medical students. Both the General and Civic Campus have 3 CTUs which are ward-based and provide care for 20-25 patients. These units provide the backbone for both the undergraduate and postgraduate programs in internal medicine.

You will have the opportunity to admit patients to hospital and provide continuous care supervised by a senior medicine resident and attending staff. You will be required to do one call per week on a week night. Call will be 1st call for the medical team which allows responsibility for admissions to the team and 1st response to all acute issues on the medical floor. Calls will be closely supervised by the junior resident or the senior resident on call.

If you have confirmed your elective placement: please refer to the link on the left side of the page: University of Ottawa Student elective/GIM Info

Objectives:

To provide students and residents with an opportunity to gain experience in the interview and assessment of adolescent patients
To understand the interaction of the process of adolescent development on the biopsychosocial health outcome of youth
To become comfortable using the HEADDSS interviewing technique
To gain confidence in engaging and working with adolescents deemed to be at high risk

Description:

Students and learners will have an opportunity to participate in several areas of adolescent health both within and outside the hospital. Experience will include both inpatient and outpatient experience with patients aged 12-18 years in the following areas: Eating Disorders Exposure to the full spectrum of eating disorder management including a half-day assessment process, outpatient clinic, day program (maximum of 8 patients) and inpatient (averaging 4-8 patients) General Adolescent Health Issues Range of patients presenting with issues related to adolescent development, identity, sexuality, anxiety and depression, school refusal, substance use and abuse, etc. There is a specific focus on:

Sexual Health 1 Adolescent Health clinic weekly with emphasis on sexual histories, sexual assault, etc.
Chronic Illness These patients reviewed in either of general adolescent health clinic or in concert with various subspecialty clinics (i.e. Diabetes, IBD, etc)

Please note that the outpatient clinics are currently scheduled for Monday and Thursday evenings (4-8 pm) There is also an opportunity for students/ residents to attend a drop-in high school clinic (one half day/ week) and as well a sexual health clinic off site. This opportunity is dependant on the number of learners per given month interested in attending the same. Students are asked to alert the supervising physician of their wish to attend these clinics or of other specific interests prior to or as early as possible after elective onset to enable proper planning. Students also have the opportunity to become involved with research projects addressing any facet of adolescent health.

Duration: 2 weeks
No. of Students: 1
Available for: All medical students, priority given to clinical clerks

Note: first year medical students who have an interest in observing during the Monday or Thursday clinics may register for this type of experience, space permitting

Objectives:

Through exposure of students to the care of patients and their families and through use of the clinical and laboratory resources of the Hematology/Oncology program at the Childrens Hospital of Eastern Ontario the objectives of this elective are:

To enhance pediatric clinical skills.
To help the students appreciate the impact of a serious illness on a child and their family.
To learn basic principles of pediatric hematology and oncology.
To enable students to appreciate the care and support given to patients and their families.
To observe lumbar puncture and bone marrow aspirate procedures.
To pursue a small research project if desired.

Description:

Preclinical: These students will work directly with a staff physician once a week in clinic during either the general oncology clinic or one of the subspecialty clinics.

Clinical: These students will participate in the clinical activities of the pediatric hematology/oncology service either on the in-patient service or out-patient in the clinic. The student will work directly with the staff physician as well as with the clinical assistant, fellow or resident if they are also on the service. On the inpatient service they will participate in daily rounds as well as consults and procedures as they are available, On the outpatient service they will participate in the general oncology as well as subspecialty clinics. They will also observe bone marrow aspirate and lumbar puncture procedures as they are available.

LOCATION:	Children's Hospital of Eastern Ontario
DURATION:	2 - 4 weeks
NO. OF STUDENTS:	1-2
AVAILABLE FOR:	All medical students, priority given to clinical clerks

Description:

To gain an understanding of the common disease processes of newborn infants and the facilities and resources available to treat them. Description The Neonatal Intensive Care Unit of the Children's Hospital of Eastern Ontario provides care for approximately 400 high risk infant patients each year, born in the surrounding region of Eastern Ontario and Western Quebec. Students are encouraged under the supervision of the attending neonatologist, neonatal fellow and the pediatric residents, to be involved in the care of premature low birth weight infants with their multiple complicating disease processes. Full term infants are also referred for care suffering from perinatal asphyxia, jaundice, neonatal sepsis, congenital heart disease or major congenital malformations requiring surgical repair. In addition, the student has the option to participate in the neonatal transport program providing for the stabilization and transfer of high risk infants from the hospital of birth to the Neonatal Intensive Care Unit. Attendance at the multi-disciplinary Neonatal Follow up Clinic to assure the quality of survival of high-risk infant patients is also possible. Pre-clinical students are welcome to join daily patient care rounds to observe the many critical aspects involved in the comprehensive neonatal intensive care or to participate in the multidisciplinary assessment of infants at greatest risk of neuro-developmental handicap in the Neonatal Follow-up Clinic. Students of any year may choose a major topic to study in depth under the supervision of the neonatologist.

Location: Children's Hospital of Eastern Ontario
Duration: 2 weeks
Number of Students: 1-3 students
Available for: All medical students, priority given to clinical clerks

Neonatology / Perinatology

Objectives:

To gain insight into normal and abnormal fetal development;
To learn about the transition from the intrauterine to extrauterine environment;
To learn about the disease processes in newborn infants;
To explore ethical principles involved in neonatal intensive care.

Description:

Almost 4,000 deliveries per year take place at the Ottawa Hospital General Campus, which is the Regional Perinatal Centre for Eastern Ontario. Many of these are following high-risk pregnancies; fetal anomalies may have been detected in utero; the mother may have significant medical problems or pregnancy-induced problems, or premature labour may have occurred. There are over 450 admissions per year to the NICU, 35% are infants weighing less than 1,500 grams at birth. During this elective, students will participate in a variety of rounds and seminars discussing the optimal care for high-risk pregnancies. Whenever possible, they will observe or participate in the ongoing care of sick newborns. They may also get a chance to attend a Neonatal Follow up Clinic. This elective is suitable for students of any year, with pre-clinical students taking primarily an observers role and clinical students having more direct involvement with patient care. For all years, the basic physiology and pathophysiology of the clinical situations will be stressed.

Location: The Ottawa Hospital General Campus
Duration: 2 weeks
No. of Students: 1 student
Available for: All medical students, priority given to clinical clerks

Objectives:

To gain experience in diagnostic work-up and management of infants, children and adolescents with neurologic disorders.

Description:

The student will work under the supervision of a Pediatric Neurologist at the Childrens Hospital of Eastern Ontario. He/she will act as a clinical clerk on the Pediatric Neurology consulting service. She/he will work directly with infants, children, adolescents and their families completing inpatient and outpatient consults in ambulatory clinics, hospital wards, PICU, NICU and the emergency room. The student will attend weekly teaching rounds and may be expected to complete a short oral presentation.

Ward Rotation. The student will be assigned to the Pediatric Neurologist consulting service. He/she will carry out inpatient and outpatient consults in ambulatory clinics, hospital wards, PICU, NICU and the emergency room. She/he will be involved in patient assessment, interpretation imaging and test results as providing their opinion re: treatment and management decisions. The student will always have support and back-up from a Pediatric Neurology Resident and/or Staff Physician at all times. She/he will only be assigned tasks that are within level of comfort, knowledge and training.
Clinic Rotation. The student will be assigned to Pediatric Neurology ambulatory clinics that may include: general child neurology, epilepsy, neuromuscular, headache, neuro-oncology, movement disorders, white matter diseases and cerebral palsy.

LOCATION:	Children's Hospital of Eastern Ontario
DURATION	2 weeks
NO. OF STUDENTS:	1
AVAILABLE FOR:	All medical students, priority given to clinical clerks - preclinical students will observe in the clinics

Objectives:

To learn about the fundamental principles of screening, and the diseases for which newborns in Ontario are screened.
To observe the testing process, the fundamental principles of the tests themselves, and basic concepts about the interpretation of screening test results.
To observe and learn about the referral process for screen positive infants, and the operational systems for ensuring appropriate screening, retrieval and follow-up of infants.
To observe the retrieval and diagnostic evaluation of screen positive infants, including the initial communication with parents, diagnostic approaches, triaging, and treatment decisions

Description:

CHEO hosts the provincial newborn screening program for Inherited Metabolic Diseases, Cystic Fibrosis, Sickle Cell Disease, Congenital Hypothyroidism, and Congenital Adrenal Hyperplasia. A state of the art laboratory performs screening tests on babies born across the Province of Ontario (~150,000 per year), and a team of health care providers (physician, lab scientist, manager, nurse, genetic counselor) coordinate and quality assure the system, ensure that all babies with a screen positive result are evaluated and review the diagnostic assessments sent back from treatment centres. The student will attend the screening laboratory and learn from the technologists performing the testing, as well as the scientific and medical staff reviewing and interpreting the results. They will spend time with the genetic counsellors to observe and learn about the referral process for screen positive infants and the operational systems for ensuring appropriate screening, retrieval and follow-up of infants. The medical student will spend time with the medical staff to learn about fundamental principles of screening and their practical application. Finally, the students will have an opportunity to attend the CHEO newborn screening retrieval centre to observe the retrieval and diagnostic evaluation of screen positive infants, including the initial communication with parents, diagnostic approaches, triaging, and treatment decisions.

Location: Childrens Hospital of Eastern Ontario
Duration: 2 - 4 weeks
No. of Students: 1
Available for: All medical students, priority given to clinical clerks

Objectives:

To ensure that the students:

Acquire/enhance clinical skills in Paediatric Rheumatology
Learn to communicate with rheumatology patients and their parents
Learn clear and concise rheumatology history taking
Learn competent physical examination skills, including a detailed examination of the musculoskeletal system
Experience hands-on management of patients with rheumatologic disorders

Experience will include - Outpatient:

Observation and hands-on encounters with new and follow-up general rheumatology patients.
Learn complete rheumatology history taking
Learn detailed joint specific musculoskeletal examination
Learn general and specific management of rheumatology patients
Reviewing of patient results with staff, including laboratory tests and x-rays

In-Patient:

Rheumatology consultations
Rheumatology admissions to Medical Day Care Unit
Rheumatology admissions to Surgical/Interventional Radiology Day Care Unit for intra-articular joint injections
Acquiring skills for intra-articular steroid injection
Bedside teaching on rheumatology in-patients

LOCATION:	Childrens Hospital of Eastern Ontario
DURATION:	2 weeks minimum
NO. OF STUDENTS:	1
AVAILABLE FOR:	All medical students, Priority given to clinical clerks

Objectives:

To provide students with an opportunity to use humour and distraction techniques in the medical setting in order to:
- Normalize the hospital environment
- Empower the child & family
- Assist in procedural support
- Provide skill building opportunities
To recognize the interdisciplinary collaboration involved in the setting of therapeutic clowning goals.
To identify the significance of legacy building.
To appreciate and practice skills like listening, intuition, sensitivity, emotional creativity, intelligence and humour while acquiring some traditional tricks of the magic trade.

Description:

Each student will have the opportunity to accompany the CHEO therapeutic clown to inpatient and outpatient areas. They will observe a variety of therapeutic applications of clowning with specific diagnostic groups. By developing a clown persona and practicing some of the tricks of the trade the student will gain an understanding of interdisciplinary collaboration in setting individual therapeutic goals. The student will also see the therapeutic benefits of humour-based interventions by interacting with a cross-section of patients.

Supervisor:	Mollypenny, Therapeutic Clown; Nora Ullyot, CCLS Co-ordinator Professional Practice Leader Child Life
Duration:	10 hour elective
Number of Students:	Clowning days every Tues, Wed. and Thursday Available for: 1^st & 2^nd year Medical Students uOttawa students

Pre-requisite:

Assosciation of Childlife Professionals provides information on child Life Professionals
The life Threatened Child and the Life Enhancing Clown:
Towards a Model of Therapeutic Clowning. Donna Koller, Camilla Gryski. eCAM Advance, May 17,2007. Doi:10.1093/ecam/nem033

Videos:

From Halifax, “Cleve who clowns at IWK”
The serious business of clown doctoring | Thomas Petschner | TEDx
One, Two, Three: Play: Jeff Smithson at TEDx
Humor in healthcare | Gary Edwards | TEDx
From Montreal, “La Belle Visite”, clowning is in French with English sub-titles. Dealing with adults who have dementia
The Dream Doctors Project- Israeli Medical Clowns - YouTube { English Version }
Therapeutic Clowns Canada
Email: [email protected]

The students who wish to further their interest in anatomical pathology should begin with this program. It can be done either in the 1st or in the 2nd year and it introduces both the specialty and the specialist to the medical students. You will have the opportunity to know what anatomical pathology is all about: the different pathologist's duties, the way he participates in patient care, how tissue biopsies are obtained and how the specimens are processed in the laboratory.

The rotation comprehends four sessions of 2 1/2 hours duration. These four sessions take place in the Department of Pathology of the General Campus, during four consecutive weeks. The first three are afternoon sessions, from 1:30 to 4:00 pm, and they take place in the same weekday (you choose the day). The fourth session is in the morning, from 8:30 to 11:00 am.

First session	Anatomical Pathology: introductory talk Lab tour: gross room, histology lab and resident's room
Objectives	By the end of this session the student shall be able to: Describe the main activities of the anatomical pathologist and the importance of an accurate pathological diagnosis in patient management Describe the types of specimens that surgical pathology deal with and the sequence of procedures from harvesting to slide making Describe the anatomical pathology postgraduate program
Second session	Clinico-pathologic correlation Macro-microscopic integration
Objectives	By the end of this session the student shall be able to: Recognize the paramount importance of clinical, imaging and laboratorial findings correlation for the accurate histological interpretation Understand how gross and microscopic findings are integrated to achieve the final diagnosis
Third session	Cytopathology - technical aspects Cytopathology - clinico-pathological correlation
Objectives	By the end of this session the student shall be able to: Describe the specimens that cytopathology deal with and the sequence of procedures from harvesting to the slide making Describe the differences between cytologic exams for the screening of cancer and for diagnostic purposes Understand the paramount importance of clinical, imaging and laboratorial findings correlation for the cytological diagnosis
Fourth session	Medical autopsy Forensic pathology
Objectives	By the end of this session the student shall be able to: Understand the differences between a hospital autopsy and a medico-legal autopsy/autopsy performed under Coroners warrant and the differences between a Pathologist, a Coroner and a Forensic Pathologist Identify the types of deaths that require a physician to contact the Coroner Describe in general lines the functioning of the morgue and the autopsy techniques

General information (for U of Ottawa Students ONLY)
Application form (for U of Ottawa Students ONLY) (PDF)
Program evaluation form (PDF)

First session:

Second and third sessions:

Differentiation and neoplasia (PDF)
Management of neoplasia (PDF)

Fourth session:

Coroners Act of Ontario (PDF)
Interview with Dr. Milroy (PDF)

Introduction to Undergraduate Medical Elective in Clinical Biochemistry (10h)

It has been estimated that up to 60% of medical decisions are made based on laboratory results. However, despite these statistics, medical trainees receive little formal education on laboratory analyses and almost no exposure to clinical laboratories. The purpose of this introductory elective is to provide medical trainees with an overview of activities occurring in a teaching-hospital based Biochemistry laboratory. Students will be exposed to the four main areas of the Laboratory testing process: pre-analytical, analytical, post-analytical and Point-of-Care testing (POCT). Students will also be introduced to contemporary issues facing the clinical laboratory, such as test utilization initiatives, automation, quality assurance, standardization and regulatory requirements.

This 10h elective will comprise four 2.5 hour sessions. These sessions will take place in the Division of Biochemistry in the Department of Pathology and Laboratory Medicine in the laboratory at the General Campus.

First Session	Pre-analytical
Objectives	At the end of this session, students will be able to: describe how pre-analytical errors can affect lab results and provide specific examples List specimen rejection criteria and reasons for these criteria Describe the term ‘laboratory automation’ List reasons why a requested lab test may be restricted Understand the reasons behind and strategies used for lab test utilization strategies
Second Session	Analytical
Objectives	At the end of this session, students will be able to: Describe, in general, the main types of analyzers found in a routine hospital biochemistry laboratory Describe quality control (QC) procedures and understand how QC is monitored and how QC goals are determined Describe how lab tests are evaluated prior to implementation
Third Session	Post-analytical
Objectives	At the end of this session, students will be able to: Describe the term ‘autoverification’ Define the term ‘critical value’, provide examples and understand the challenges faced by the laboratory staff in communicating these results Describe how reference intervals are established and understand the challenges in calculating reference intervals Define the term ‘turn-around-time’
Fourth Session	Point-of-care testing (POCT)
Objectives	At the end of this session, students will be able to: Define POCT List examples of POCT Describe the challenges associated with POCT Understand the importance of laboratory accreditation with respect toPOCT List the advantages and disadvantages of POCT

Anatomical Pathology (Offered to 2^nd Year Students)

Anatomical Pathology is a Laboratory Medicine specialty oriented toward the identification and documentation of the structural and functional consequences of injurious stimuli on cells, and the patterns of host reaction to these influences.

General Objectives:

To understand the role of the Pathologist as a consultant and the importance of an accurate pathological diagnosis in patient management;
To recognize the importance of clinical history in the assessment and accurate interpretation of the specimen;
To review the general host responses to injury and understand the pathogenesis, morphological features and functional alterations attributable to these processes: cellular injury, inflammation and repair, disorders of growth, and fluid and hemodynamic disturbances;
To gain familiarity with the morphology of malignant cells and to recognize the characteristic features of common neoplasms;
To become familiar with the common techniques employed in Anatomical Pathology and recognize their limitations;
To gain familiarity with the formulation of Cytopathology, Surgical Pathology and Provisional/Final Autopsy Reports and to recognize the importance of a clear, concise, organized and accurate report as an effective vehicle of communication;
To understand the quantitation of turnover time and recognize the fixed (processing/technical) and flexible (manpower dependent) components of this measure of quality of service.

Description:

The student will assist in the pathological evaluation of various surgically removed tissues, take part in the work-up of current case material with their clinical pathological correlations, attend conferences and seminars, observe and assist with autopsies, learn procedures involved in preparing and diagnosing frozen sections, etc.

This elective is useful to any future practicing physician as well as aspiring pathologists.

Learning how to interpret Pathology reports and how to use this information in decision-making concerning patient management is one of the many strong points in this elective. An opportunity to focus on one specialty (e.g. Gynecological Pathology, Renal Pathology, etc...) Or do a short project is also possible.

Undergraduate Electives Coordinator:

Dr. Jason Wasserman
Division of Anatomical Pathology

Secretary for the Undergraduate Electives:

Mrs. Manon Levesque
Department of Pathology and Laboratory Medicine
Faculty of Medicine, University of Ottawa

Application form (PDF)

General Objectives:

To understand the role of the Pathologist as a consultant and the importance of an accurate pathological diagnosis in patient management;
To recognize the importance of clinical history in the assessment and accurate interpretation of the specimen;
To review the general host responses to injury and understand the pathogenesis, morphological features and functional alterations attributable to these processes: cellular injury, inflammation and repair, disorders of growth, and fluid and hemodynamic disturbances;
To gain familiarity with the morphology of malignant cells and to recognize the characteristic features of common neoplasms;
To become familiar with the common techniques employed in Anatomical Pathology and recognize their limitations;
To gain familiarity with the formulation of Cytopathology, Surgical Pathology and Provisional/Final Autopsy Reports and to recognize the importance of a clear, concise, organized and accurate report as an effective vehicle of communication;
To understand the quantitation of turnover time and recognize the fixed (processing/technical) and flexible (manpower dependent) components of this measure of quality of service.

Description:

Undergraduate Medical Education Director:

Dr. Jason Wasserman

Secretary for the Undergraduate Electives:

Mrs. Manon Levesque
Department of Pathology and Laboratory Medicine
Faculty of Medicine, University of Ottawa

Application form (for U of O students ONLY) (PDF)

Visiting Medical Students must follow the application procedure on the website

Suggested reading:

Location: The Ottawa Hospital - General Campus, Critical Car Wing, 4th Floor
Duration: Flexible, 1 to 4 weeks
No. of Students: Individual
Available for: 4^th year students

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Notes:

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Guidelines

Department of Emergency Medicine arrow_drop_down

Pre-Clerkship Elective in the Emergency Medicine Department

Mandatory 2nd year observership:

Non Mandatory 1st and 2nd year observership:

Evaluations:

Cancelling an Elective:

Family Medicine arrow_drop_down

Medical Genetics arrow_drop_down

Clinical Genetics Rotation

Description:

Inner City Health arrow_drop_down

Nuclear Medicine Elective for Undergraduate Medical Students arrow_drop_down

Objectives:

Description:

Obstetrics and Gynecology arrow_drop_down

University of Ottawa Students:

Labour and Delivery

Ophthalmology arrow_drop_down

WELCOME TO THE EYE INSTITUTE

General Objectives

Otolaryngology arrow_drop_down

Otolaryngology - Head and Neck Surgery / General

Objectives & Description:

Department of Pathology and Laboratory Medicine arrow_drop_down

Undergraduate Electives in the Department of Pathology and Laboratory Medicine

Anatomical Pathology

Pediatric Pathology

Hematological Pathology

Biochemistry

How to set up an elective

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Ottawa Public Health

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Adult Radiology arrow_drop_down

Introduction to Diagnostic Imaging / Radiological Sciences

Clinical Radiation Oncology

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Surgery Orientation arrow_drop_down

Useful links:

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Children's Hospital of Eastern Ontario (CHEO)

Guidelines for Electives

CLINICAL PLACEMENTS AT CHEO – MANDATORY TRAINING REQUIREMENTS AND STUDENT ENTRANCE SCREEN

Psychiatry arrow_drop_down

The Ottawa Hospital Information arrow_drop_down

General Internal Medicine Elective

CIVIC Campus:

ID

Nuclear Medicine Elective for Undergraduate Medical Students arrow_drop_down

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Elective in Cardiac Surgery arrow_drop_down

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Elective in General Surgery arrow_drop_down

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Ambulatory Neurosurgery

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Pediatric Surgery arrow_drop_down

Experience in the Surgery of Children

Mandatory 2^ndyear observership:

Non Mandatory 1^st and 2^nd year observership: