201. Physicians and Patients I
(Enrollment limited to MD candidates). This one-year sequence is the start of
the journey into the world of the clinician. One primary goal is to teach the
basic principles of the medical interview; a combination of methods are used:
patient interviews, lectures, small group seminars, readings, and a private
videotape review of each student interviewing a standardized patient. A second
goal is to begin the teaching of "vertical threads," practical
information relevant to the practice of medicine that is integrated throughout
the medical school curriculum. This quarter抯 vertical thread is Biomedical
Ethics.
1 unit, Aut (E. Wolfe and L.
Gervin) F 8-8:50 am
202. Physicians and Patients II
(Enrollment limited to MD candidates). See Medicine 201. This quarter抯
vertical threads are Cultural Competence and Clinical Preventive Services.
1 unit, Win (E. Wolfe and L.
Gervin) F 8-8:50 am
203. Physicians and Patients III
(Enrollment limited to MD candidates). See Medicine 201. This quarter抯
vertical thread is Human Sexuality.
1 unit, Win (E. Wolfe and L.
Gervin) W 8-8:50 am
205. Laboratory Medicine-Hematology
(Same as Pediatrics 205). Consists of lectures and related laboratory on:
anemia; disorders of red cell production and pathophysiology of hemolytic
states; myeloproliferative and lymphoproliferative disorders; hemostasis; and
thrombosis. In the laboratory, students will analyze actual cases based mainly
on observations of blood samples. Students must report to the Fleischmann
laboratory prior to the first day of class for desk and microscope assignments.
A final exam will be given. Prerequisites: Previous or concurrent enrollment in
Pharmacology 201/202 and Pathology 230A/230B.
3 units, Win (B. Glader, S.
Schrier, P. Greenberg, L. Leung, L. Boxer, R. Negrin, K. Blume, M. Amylon, H.
Cohen) Th 1:15-4:05 pm
207. History of Medicine
Consists of a series of weekly lectures that trace the development of Western
medical tradition from Babylonian, Egyptian, and Greek ancient cultures to the
present. No final exam. Minimum of 10 students.
1 unit, Win (C. Camargo, F. Vescia,
staff) Th 12:00-1:00 pm
208A. Preparation for Clinical Medicine: The Physical
Examination
(Enrollment limited to MD candidates). Designed to help students acquire and
develop the skills of the physical examination. There are demonstrations
followed by small group supervised practice. Each student receives a videotape
of the physical examination for personal review. An optional session on clinical
problem solving will be held Tuesday at noon. (Students should enroll in this
course during the quarter prior to enrollment in Med 208B and Med 208C;
exceptions will be made by permission of the course directors.) Attendance and
participation are the major components of evaluation. Sign-up list requested.
3 units, Win (E. Wolfe and L.
Gervin) T 1:15-4:05 pm
208B. Preparation for Clinical Medicine: Hospital
Preceptor Program
(Enrollment limited to MD candidates). Designed to continue the process of
acquiring skills in medical interviewing, physical examination, writing clinical
reports, clinical presentations, clinical problem solving, and management plans.
Students receive instruction from physicians three afternoons weekly, and in the
management of patients with psychiatric illnesses, once weekly. Students should
be concurrently enrolled in Med 208C and have taken all preclinical courses. The
course also includes three required evening training sessions with patient
educators in female breast and pelvic examination and male rectal/genital
examination. Attendance, participation, a written final examination, and a
clinical examination using standardized patients are the components of
evaluation. Sign-up list requested.
8 units, Spr (E. Wolfe, L. Gervin,
C. DeBattista, staff) MTuWTh (3 of these days) 1:15-5:05 pm; psyc interviewingTh
10:30 am-12:00 pm
208C. Introduction to Clinical Problem-Solving/Skills
Training
(Enrollment limited to MD candidates). Designed to synthesize knowledge gained
in preclinical courses to facilitate the transition into clinical medicine.
Students are assigned to learning groups. The course material is presented in
teaching/learning modules covering aspects of general medicine. Learning
activities include presentations by experts, case discussions, CPCs, and
computer exercises. Students also receive additional training in clinical
information resources including medical databases, diagnostic software, and
Internet resources as a followup to the Computers in Medical Education unit
completed in the first quarter of medical school. Students are expected to
actively participate in learning activities; evaluation is based on attendance
and contribution to the group. Students should be concurrently enrolled in Med
208B. Exceptions will be made by permission of the course directors.
Prerequisite: students must have taken all preclinical courses. Sign-up list
requested.
7 units, Spr (T. Blaschke, staff)
MTWF 8-12:00 noon, Th 8-10:00 am
210. Issues in Geriatric Medicine
Introduces important clinical issues in geriatrics in weekly lecture/discussion
sessions with faculty researchers in aging. Field experiences in health care and
community settings allows students to explore the impact of illness and health
care on the lives of elders. Topics will include distinguishing illness from
normal age-related changes; using the functional approach to evaluation of
health status; effects of multiple pathology and atypical presentation on
clinical management of chronic disease; and special approaches needed in the
diagnosis and treatment of diabetes, cardiovascular disorders, osteoporosis, and
confusion in the older patient. No final examination.
1 to 2 units, Win (P. Pompei, G.
Yeo) by arrangement
211. Creative Writing
Provides a forum for writers of all levels and offers the chance for serious
attention to students' writing. We will examine multiple uses of creative
writing, including understanding the experience of medical training. We will
also recommend explorations for further development.
1 unit, Win (N. Cohen, R. Doyle,
A. Shafer) F 12:00-1:00
214. Literature and Medicine
(Same as Anesthesia 214). A reading and discussion course on the uses of
literature as a guide to the humanistic aspects of patient care. Essays, stories
and poems by physicians, patients and family members on topics such as medical
training, the patient's perspective, ethics, AIDS, etc., will be discussed. No
paper, no final examination.
1 unit, Win (L. Zaroff, A. Shafer)
W 12:00-1:00 pm
218. Biomedical Informatics Project Course
(Register for Biomedical Informatics 212). A project course for students who
have completed 217 or 219 and who wish to implement some of those ideas in a
computer program. Software tools provided. Prerequisites: Programming
experience, BMI 219 or 214.
3 units, Spr (L. Fagan) TTh
4:15-5:05 pm
219A, B. Introduction to Biomedical Informatics
(Lecture series for Computer Science 270 or Biomedical Informatics 210A, B). A
survey course regarding use of computers in the field of medicine, including a
variety of research and applied environments and the factors that influence the
acceptance of these applications. Topics: integration of computer systems in the
medical center, hospital information systems, ambulatory care systems, medical
databases and networking, bibliographic search, applications to molecular
biology, aids for disabled patients, image processing, computer-aided
instruction, decision support systems.
1 unit, Aut, Win (M. Musen) TTh
1:15-2:30 pm
220. Thyroid Clinic
Involves work with house staff and consultants in examining and managing
patients with thyroid disorders. Prerequisite: consent of instructor.
1 unit, any quarter (R. McDougall,
Strauss) T 8 am-12 noon; Th 8 am-12 noon or 1:15-5:00 pm
224. Ethnicity and Medicine Lecture Series
A weekly lecture series that introduces basic information about ethnic and
cultural factors that impact patient care. Presents information about culturally
sensitive health care services. Addresses contemporary research issues involving
minority and underserved populations. Topics include health care issues and
indigenous medical practices of African-Americans, Asians, Latinos,
Native-Americans, immigrants and refugees in both urban and rural settings. The
2 credit seminar includes a one hour discussion led by students and facilitated
by course director. No final exam.
1 or 2 units, Spr (R. Garcia) Th
12:00-2:00 pm
225. Travel Medicine and International Health
A growing medical subspecialty dedicated to the health of international
travelers, workers, and adventurers, Travel Medicine is an interdisciplinary
field covering such diverse disciplines as infectious diseases, emergency
medicine, pediatrics, women抯 health, and occupational medicine. Lectures and
practical labs will cover (but not be limited to) malaria, jet lag,
immunizations, diarrheal illness, water purification, travel wound management,
envenomations, orthopedics, fever in travelers, insect repellents/avoidance,
altitude illness, travel health for women and children, diving travel medicine,
tropical dermatology, expedition medicine, international health/relief, and the
medically complex traveler. Travel Clinic, Emergency Department, and Paramedic
observations will be available. Sign up list requested. Minimum 10/maximum 50
students.
4 units, Spr (E.L. Weiss, S.
Anderson) TTh 4:00-5:30 pm
226. Building our Humanity: Culture, Emotions, and Medicine
In this experiential based course, students will learn a model for
understanding, giving, and receiving emotional support that will be helpful in
preserving their humanity and identity during medical training. Students will
practice their skills by drawing on personal experiences to examine and work
through accumulated challenges to their humanity. This will serve as a primer
for dealing with the stresses of physician training (time pressures, dealing
with death, suffering, increasing demands and expectations, etc.). Students will
finish the course with a better understanding of their own emotional life and
learn methods to better build their humanity and social identities to become
more effective healers.
2 units, Win (T. Woon, R. Garcia)
Th 6:30-9:00 pm
228. Physicians and Social Responsibility
228. Physicians and Social Responsibility. Students are introduced to the
variety of roles physicians play within a broad social and political context.
The course emphasizes health professionals' role in social change--through
policy, advocacy, and shaping public attitudes. Topics include: how physicians
have influenced governmental policy on nuclear arms proliferation; environmental
health concerns; domestic violence; health and human rights; physicians in
government; activism through research; the effects of poverty on health; and gun
violence.
1 unit, Aut (A. Laws, H. Abrams) T
12-1:00 pm
231. Orientation to Family Practice
An introduction to the unique aspects of family practice as a specialty. Topics
will include an overview of the family physician's role, family assessment,
community resources, history-taking, and physical diagnosis. Summer
assistantship students are given preference. No final exam. Limited to 20
students, minimum of 10. Sign-up list requested.
2 units, Spr (J. Hopkins, J.
Jernick) M 5:30-6:45 pm
233. Early Clinical Experience in Family Practice
Essentially an observational experience with physicians in a primary care
setting such as a physician's office, hospital, nursing home, and home visits.
Attendance at medical staff meetings is possible. Students are assigned to a
physician for one half day each week. Students are also expected to attend
concurrent seminars. No final examination. Minimum of six students. Sign-up list
requested.
3 units, any quarter (S. LeBaron,
J. Hopkins, Lee, M. Grudzen) M 5:30-6:45 pm
234. Assistantship in Family Practice
Offers an in-depth experience with a family practice physician either locally or
in underserved rural and inner-city areas in California or other states.
Students can develop observational ability and skills in assessing and working
with families who are coping with health and disease of family members and learn
more about the physician-family-community interrelationships. Some opportunity
exists for sharpening physical diagnosis skills. The experience is full or half
time for one or two months. The course may be combined with an in-depth research
project related to family medicine. No final exam. Minimum of 10 students.
Prerequisite: Medicine 231. Sign-up list requested.
6 to 12 units, Aut, Sum (S.
LeBaron, M. Grudzen) by arrangement
237. Women and Health Care
Covers topics of interest to women both as health care consumers and providers,
and examines the historical role of women in health care, how they have changed
health care programs, and what current and future changes are anticipated. The
course consists of lectures (open to the public) and seminars with a guest
lecturer. Seminars led by students may involve cases, discussion of readings
assigned, or other issues pertinent to the lecture topic. No final exam. Sign-up
list requested.
1 to 2 units, Aut (M. Grudzen,
Massion) F 12-1:00 pm (lec); 1:15-2:05 (sem)
238. Geriatric Long Term Care: Readings and Field Work
A self-paced class using individual instruction modules on medical care for
frail older adults needing long term care services. After completion of each
group of modules, students visit long term care settings and discuss the care of
patients with geriatric team members. The final activity involves participating
in a history of an elder and family caregiver and presenting the findings to
faculty members. The class can be taken for one unit (10 modules) or two units
(20 modules).
1 to 2 units, any quarter (D.
Thom) by arrangement
239. Rural Health
Offers an overview including health status of the population, availability of
health services and institutions, personal and environmental factors affecting
health and medical care, and present and future models for change. There will be
two seminars, a three day field trip to San Joaquin Valley and mountain sites,
and a follow-up seminar. No final examination. Minimum of 10 students. Sign-up
list requested.
3 to 5 units, Spr (E. Segal,
staff) by arrangement
240. HIV Medicine
Provides a comprehensive introduction to the world of HIV medicine. The
transformation of HIV infection from an unknown entity into a treatable disease
was the result of collaborative efforts between basic research and clincians.
The course presents an overview of the epidemiology, pathophysiology, virology,
immunology, clinical presentation, and current and future therapeutic strategies
of HIV infection. Presenters include faculty from multiple disciplines including
basic research, clinicians, other health care providers, and patients, with the
goal of describing the challenges involved in understanding and overcoming a new
pathogen. The course directors are present at each session to provide general
scientific and clinical relevance as well as conceptual continuity. Open
discussion is encouraged. A detailed syllabus is provided. No final examination.
3 units, Win (J. G. Montoya, J.
Schapiro) MT 5:00-6:30 pm
245. Alternative Medicine: A Scientific View
This course uses 揳lternative medicine?as a model for critical analysis of
unusual, aberrant, and false medical claims. It is not an instruction in 揾olistic?or
揳lternative?medicine. The course抯 first half introduces the student to
errors in thinking, reasoning, and practice, as exemplified by 揳lternative?claims.
It explores misperception, defects of memory, group consensus, belief, and
characteristics of cult behavior. It introduces methods of analysis of unusual
medical claims, comparing aberrant reports to scientific standards of evidence.
The last half consists of demonstrations and lectures by advocates followed by
analyses and discussions. Recommended preparation: anatomy, physiology,
pathology, biochemistry, pharmacology, or reasonable understanding of them.
Minimum 6, maximum 15 students. Medical students receive pass or fail. 2 units
credit given to students completing all assignments. No 1 unit credit.
2 units, Win (W. Sampson) T
4:15-6:05 pm
248. Student Rounds
A class forum where teams of preclinical students meet weekly with a clinical
student to hear the history and physical of a recent case the clinical student
encountered on the wards. After hearing the presentation including the labs, the
preclinical students will work together under the guidance of the clinical
student to develop a problem list and plan. Afterwards the preclinical students
will compare their observations, problem list, plans, and orders with those made
by the actual admitting team. In the course of presenting the cases, the
clinical student will describe personal experiences as well as practical
components of ward work and daily clinical routine. At the end of their
presentations, clinical students will meet for 15 minutes to discuss teaching
techniques. No final examination.
1 unit, any quarter (J. E. Atwood,
med students) by arrangement
250A. Medical Ethics
Deals with theories of ethical and moral decision-making in introductory
lectures. Special attention is paid in seminar and discussion groups to the
dilemmas confronting medical practitioners. A final paper is required. Minimum
of 10 students. Sign-up list requested.
3 units, Win (E. Young) T
2:15-5:05 pm
250B. Medical Ethics
Examines a narrower range of topics at greater depth than Medical Ethics I.
Whereas Medical Ethics I is an introductory course in biomedical ethics,
providing a comprehensive survey of the field, Medical Ethics II is a more
advanced course for those who already have some acquaintance with biomedical
ethics whether or not they have taken Medical Ethics I. It has three primary
objectives: a) examining the fundamental ethical principles underlying medicine
and the life sciences, and the sometimes complex relationships between them; b)
correlating these principles with ethical issues that have arisen and continue
to arise in the practice of medicine; and c) suggesting areas where greater
conceptual clarity and methodological finesse is required to meet emerging new
challenges in the field. A final paper is required. Minimum of 10 students.
Recommended: Med 250A. Sign-up list requested.
3 units, Spr (E. Young) T
2:15-5:05 pm
252. Ethics Rounds
A case-based weekly meeting on issues of medical ethics. Specific topics
determined by the instructor and members of the class. Open to medical students
only.
1 unit, Win (E. Young) TBA
255. The Responsible Conduct of Research
Comprised of six lectures and two small group discussion sessions. There are no
formal examinations, but attendance at six of the eight sessions is required to
receive credit for the course. Completion of the course fulfills the NIH/ADAMHA
requirement for the instruction in the ethical conduct of research. The lecture
format provides an overview of the major ethical issues in research: authorship,
intellectual property, and peer review; conflicts of interest, and commitment in
the relationship between academia and industry; research involving human
subjects; ethics and the use of animals in research, and "The Responsible
Conduct of Science"--a journal editor's perspective. The three small group
sessions use "trigger" videotapes to stimulate more extended
conversation about these issues between the students and faculty, and among the
students themselves.
1 unit, Win (E. Young) Th
5:30-6:30 pm
256. Ethical Discourse Through Science-in-Fiction
Utilizes examples of ethical issues that have been successfully explored through
published science-in-fiction (not to be confused with science fiction) to
examine the rules, mores, and idiosyncracies of the tribal culture of science.
Each student will compose a short story of maximally 10 pages in which some
relevant behavioral practices, or observed or reported events with ethical
connotations, are used as the plot line. Stories will be anonymously shared
among all the participants after revision and written commentary by Dr.
Djerassi. The balance of the seminar will deal with in-depth discussions of
topics raised in these short stories. Note: The first year this seminar was
offered (1997-98), students also collaborated on a jointly written story (see
揂 Science Renga?by A. Aldston, D. Borzekowski, J. Eisen, S. Fink, E. Hoen, D.
Hung et al. and accompanying essay by Prof. Djerassi published in Nature June
11, 1998). Enrollment limited to 8-10 medical or graduate students in the
sciences. Special application forms available from Professor Carl Djerassi
(723-2783, djerassi@stanford.edu) in the Dept. of Chemistry (Mail Code 5080).
2 units, Win (C. Djerassi) M
6:30-8:30
260. Medical Aspects of Land, Underwater, and High Altitude Sports
(Same as Human Biology 159). Themes of sport, exercise, health, and medicine
will be integrated throughout the entire human performance continuum, from the
use of exercise as a form of therapy to the injuries and illnesses that result
from sport and exercise. Content in the basic and applied sciences will be taken
from physiology, nutrition, psychology and biomechanics. Medical topics will
include problems exacerbated or caused by exercise and sport, maximizing
performance in elite athletes, and population-based issues such as exercise and
its relationship to health, women抯 issues, drugs in sport, and exercise and
aging. The course is designed for upper division, undergraduate human biology
students, medical students, and graduate students who have completed human
physiology or biochemistry courses. Prerequisite: Medical school enrollment,
completion of the Human Biology core with upper division standing, or permission
of the course director.
4 units, Win (G. Matheson) MWF
11:00-12:00 pm
270. Medicine and Community Service Learning
Service Learning is an educational paradigm which partners student service
experiences with study of the community being served and reflection on the
service experience itself. Service learning is intended to maximize the benefits
students receive from involovement in community-service-oriented activties and
to encourage students to pursue community-service throughout their careers. The
course will serve as a compliment to any community service work being done by
Stanford medical students. Students will meet with the course directors one
Tuesday evening a month for two hours. During this meeting, students will give
presentations on the community they are serving and discuss experiences they
have had during their service work. In addition to the large monthly meeting,
students will also form small groups of 2-3 which will meet with a faculty
mentor once a month for small group reflection on topics relevant to community
service.
1 unit, Aut, Win (E. Wolfe) T
5:30-7:30 once a month
280. Early Clinical Experience in Medicine
Provides an observational experience as determined by the instructor and
student. Prerequisite: consent of instructor. See faculty list for section
numbers.
1 to 2 units, any quarter, by
arrangement
282. Early Clinical Experience at the Arbor Free Clinic
Offers students the opportunity to provide health care in a student-run clinic
for the homeless and uninsured. Student volunteers will be guided in the
practice of medical interviews, history-taking and physical examinations as
appropriate. Clinical students and attending physicians will provide support and
guidance for the students as the team, together, arrives at a diagnosis and
management plan. Intended for Steering Committee members or for students who
will work every other Sunday.
1 to 2 units, any quarter (L.
Osterberg) Sun 10:00 am-3:00 pm, W 6:00-7:30 pm
290. Directed Reading in Computer-based Medical Education
Involves directed reading and research in the use of modern hypermedia
techniques in education. Topics can include: replacement of a lecture or a
laboratory session; primary learning material, such as an electronic book;
review material, such as question banks; and clinical cases, ranging from
summaries to simulations. No final examination. Sign-up list requested; sign up
under MIS 239.
1 to 6 units, any quarter (E.
Shortliffe, P. Dev) by arrangement
291. Cellular and Clinical Cardiac Electrophysiology
291. Cellular and Clinical Cardiac Electrophysiology. In depth discussion and
directed readings pertaining to the cardiac action potential, excitation
contraction coupling, cardiac ion channels, principles of electrocardiography
intracardiac recording, arrhythmias, and anti-arrhythmic drug therapy.
Prerequisite: Cardiovascular Physiology: MCP 200.
2 units, Spr (W. Clusin) MF
12-1:00 pm
293. Technologies of Cardiovascular Diagnosis and Therapy
A four-week course designed to be taken during clinical years. Exposes students
in a systematic fashion to the technologies commonly used by cardiologists and
allied specialists in the diagnosis and therapy of cardiovascular disease. One
third of time is devoted to EKG reading, with the remaining time for lectures by
expert faculty, directed reading, and observation of clinical procedures.
Substantial reading in specialized textbooks is expected for each of the
technologies covered. Technologies include: echocardiography, cardiac
catheterization, coronary angiography and angioplasty, cardiac nuclear imaging,
intracardiac electrophysiological recording and ablation, pacemakers, automatic
implantable defibrillators, ambulatory electrocardiography, treadmill exercise
testing and cardiac magnetic resonance imaging. For each technology, the
diversity of patients and disease states will be stressed, with emphasis on
recognizing when these procedures might be appropriate for patients.
Prerequisites: Medicine 300A (core clerkship); previous cardiology clerkships
will lend additional insight.
6 units, by arrangement with Dr.
Clusin (650-723-7395)
295. Advanced Cardiac Life Support (ACLS)
Designed to prepare students to manage the victim of a cardiac arrest. Students
will acquire knowledge and skills necessary for resuscitation of critically-ill
patients. Clinical scenarios and small group discussions are used to teach the
following core subjects: cardiovascular pharmacology, arrhythmia recognition and
therapy, acute coronary syndrome including myocardial infarction, ventricular
dysrhythmias and defibrillation, and acute ischemic stroke. Course credit and
American Heart Association Certification will be awarded after successful
completion of the skill and review sessions. Scheduled as an intensive 2-1/2 day
course on one weekend per quarter (Friday evening, all day Saturday and Sunday).
Dates to be announced. Students should get the approval of the Clerkship
Administrator before registering for the course. Prerequisites: Medicine 208,
Surgery 201. Recommended: Medicine 300A, Pediatrics 300A, or Surgery 300A.
2 units, Aut, Win, Spr (dates to
be announced) (Staff)
299. Directed Reading
Prerequisite: consent of instructor. See faculty list for section numbers.
1 to 18 units, any quarter, by
arrangement
399. Research
Allows for qualified students to undertake investigations sponsored by
individual faculty members. Prerequisite: consent of instructor. See faculty
list for section numbers.
1 to 18 units, any quarter, by
arrangement