School of Medicine Catalog -- Book One
The Medical Center
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Facilities for Student Education

Classrooms and Support Services At Stanford University School of Medicine, the main facilities for medical and graduate student education are clustered around the Dean¡¯s Courtyard in the Alway Building and the nearby Medical School Office Building (MSOB) complex. The Alway Building houses six lecture classrooms equipped with multimedia technology. The classrooms, the Office of the Dean, the Office of Student Services, a snack bar, and student lounge area all open onto a landscaped garden courtyard offering a pleasant gathering place for students, faculty, and staff.

The Fleischmann Laboratories are located on the second floor of the Alway Building. Each of the six laboratories is equipped with a computer that is used to access software programs supporting laboratory based courses. The laboratories are also used for elective courses, conferences, and seminars. The Fleischmann Learning and Resource Center (FLRC) is adjacent to the laboratories, providing students and faculty with a wide variety of video and computerized instructional resources. Additional classroom space is provided by the Munzer Auditorium in the Beckman Center and the 400-seat Fairchild Auditorium.

The Medical School Office Building (MSOB) complex is a short walk from the main Medical Center. The Office of Student Services, the Office of Medical Education, the Office of Continuing Medical Education, and the Office of Alumni Affairs are located on the third floor of MSOB. The Stanford University Medical Media and Information Technology (SUMMIT) group is located on the second floor of MSOB.

Modular E in the MSOB complex contains three examination rooms and six small classrooms. Modular E space is used for small-group discussion sessions, for conducting Standardized Patient examinations, and for practical training and demonstrations.

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Library and Information Resource Facilities

Lane Medical Library was founded in 1906 by the directors of the Cooper Medical College. The Library¡¯s research collections cover clinical medicine and its specialties, basic sciences, public health, and related fields. The collection contains about 2,600 journal titles and approximately 360,000 volumes. The electronic full-text collection has grown to 900 on-line journals and 870 on-line books/documents. We have access to more than 190 Internet databases, including for example those from Ovid, the National Center for Biotechnology Information, Human Genome Resources, and US Patent Office web patent collection. The library makes every effort to make these on-line resources available 24 hours a day from labs, clinical settings, offices, and homes. Computer workstations are also available in the library, in the Medical Informatics Training Laboratory (MITL), and in the Fleischmann Learning Resource Center (FLRC). During the school year, the library is open 104 hours/week.

Library services include general reference and in-depth consulting in all aspects of information retrieval and management. Lane offers basic classes on medical literature databases (e.g. MEDLINE, MD Consult, and SHINE); online citation indexes (SciSearch); bibliographic management software (EndNote); creating web pages; and library research skills. Customized tutorials and workshops for CE credit can be arranged on request.

Lane Medical Library¡¯s experienced search analysts will conduct searches of any database available. For a quick turnaround service, searchers can be paged at #16442. Information Services Librarians are available Monday through Friday, 8 am to 6 pm and by appointment. Questions can be called in at 650/723-6831 or emailed to laneinfo@lanelib.stanford.edu. For additional information about Lane and access to internet resources, see the Lane Library home page at: http://lane.stanford.edu

Fleischmann Learning and Resource Center and Medical Informatics Training Lab (FLRC/MITL) houses computer workstations, audio visual equipment, medical and other software, and audio visual materials to support the medical school curriculum. The facility is located in M-202 of the School of Medicine and is a unit of the Lane Medical Library. The center serves Stanford medical students and graduate students primarily.

The collections include general audiovisuals in basic and clinical science, on-line streaming video recordings (as well as videotapes) of most of the required preclinical courses offered by the School of Medicine, videodiscs, and medical and general computer software.

Lane Library's MITL is a facility where School of Medicine students, faculty, and staff can explore computer-based medical resources. When not in use as a computer-based classroom, the MITL is available for general computing use. The MITL houses a cluster of 25 new networked Windows NT workstations and a cluster of 6 networked Macintosh G3 workstations. A Macintosh G3 graphics workstation and a color flatbed scanner with a transparency adapter are also available. Zip drives and Imation SuperDisk drives are available on many MITL workstations. Both color and black and white laser printers are also available. Medical center personnel who require after-hours access to computing equipment may request to use the MITL twenty-four-hour access room. The MITL offers convenient consulting support for School of Medicine and Medical Center personnel. Professional staff members are available to consult Monday through Friday, 8am-5pm. For more information please contact staff at 650/723-5853 or email laneflrc@lanelib.stanford.edu or see more information at http://lane.stanford.edu under "Student".

Instructional Facilities and Operations (IFO) group provides scheduling and operations support for School of Medicine instructional facilities. These include the M-classrooms (M104-114), the Fleischmann Labs (M208-218), Fairchild Auditorium and Alumni Green, Medical School Office Building room X303, the T-classrooms (T108-109), and the Grant Courtyard. The IFO group ensures that instructional facilities are fully functional in terms of lighting and audio/visual services. Most classrooms have computer projection, networking, video capture, and a/v control subsystems. The group provides a/v assistance on request to speakers preparing for presentations. The IFO group operates a streaming digital video program so that Medical School course lectures and related materials are accessible by registered students on-line via the web.

The IFO group is available Monday through Friday, 8am-6pm, or by special arrangement. The Scheduling Coordinator can be reached by email to medscheduler@lanelib.stanford.edu or by phone at 650/723-6952 (FAX: 650/725-2238). Facilities or presentation support can be arranged by email to ifoaction@lanelib.stanford.edu, by phone at 650/724-3371, or by pager at #17396. For additional information about IFO services visit the Lane Medical Library home page at http://lane.stanford.edu/ under "Instructional Facilities".

Stanford University Medical Media and Information Technologies (SUMMIT) is a medical education research and development facility dedicated to exploration of new methods of information presentation, organization, and exchange. The SUMMIT group's function is to aid faculty and researchers in enhancing teaching by developing media-rich computer based educational resources, and to explore promising new directions in instructional technology such as digital video for distance education and new knowledge creation and management techniques.

SUMMIT has developed and designed much of the web and computer based instructional tools that are used in the School of Medicine's required curriculum. SUMMIT also supports research in many aspects of computer-based teaching in medicine. Opportunities are available for Student Research Assistant positions as well as for Medical Scholar's research projects. SUMMIT is located at 251 Campus Drive (Medical School Office Building). For further information, see the SUMMIT home page at: http://summit.stanford.edu

Curriculum Web Project (CWP), which is run out of SUMMIT, supports clerkships, some residency programs, and every preclinical School of Medicine course via the web both administratively (handouts, scheduling, basic course information, etc.) and with rich content-based learning tools (Java applets, interactive images, animations, interactive quizzing, streamlining video, etc.). A companion project to this is the Digital Curriculum, which has placed streaming video lectures for all of the preclinical courses on the web.

Stanford Medical and Technical Bookstore is located in downtown Palo Alto at 135 University Avenue 650/614-0280. The bookstore houses over 40,000 books (including reference, review and technical books, and more than 1200 medical textbooks), medical instruments and accessories (including laboratory coats). The bookstore, known as the best reference bookstore in the Bay Area, has computer look-up capacity and does special orders. Students, faculty and staff are eligible for a Textbook Rebate Program on books purchased between May 1 through April 30 each year. Also available is a Student Purchase Plan for medical instruments.

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Facilities for Clinical Education

The clinical education of Stanford medical students is well supported by a large number of inpatient and outpatient clinical sites. The medical centers described below serve as the sites for the majority of medical student clerkships. While facilities of Stanford Hospital and Clinics offer a larger number of experiences in subspecialty and technologically advanced treatment and care, hospitals and clinics at area medical centers offer students exposure to different patient populations and a wide variety of treatment options.

Stanford University Medical Center includes the School of Medicine, the Stanford Hospital and Clinics, and the Lucile Salter Packard Children¡¯s Hospital and its associated clinics. Stanford Hospital and Clinics have 663 licensed patient beds. Modernization of the hospital and construction of a new wing was completed in 1994. Full-time faculty of the School of Medicine and community physicians comprise the hospital medical staff. Clinics include dermatology, gynecology and obstetrics, internal medicine and its divisions, neurology, ophthalmology, adult psychiatry, surgery and the surgical specialties, and urology. Stanford serves as a regional referral center and draws patients from throughout northern California and neighboring states. There are 337,000 patient clinic visits annually.

Lucile Salter Packard Children¡¯s Hospital (LPCH) contains 156 beds and an Ambulatory Care Center consisting of a Primary Care Clinic and 27 pediatric, medical and surgical specialty clinics. Pediatric Intensive Care, Neonatal Intensive Care and Hematology-Oncology/Bone Marrow Transplantation Units are located in LPCH, as well as Labor and Delivery suites. Three pediatric general care inpatient units and a child psychiatry unit also are located at LPCH.

Department of Veterans Affairs Palo Alto Health Care System (VAPAHCS) is a three-campus facility with several additional clinics. The main campus is approximately four miles southeast of Stanford University in Palo Alto. A second campus is three miles away in Menlo Park. The third campus is 40 miles away in Livermore. VAPAHCS also operates a full-service outpatient Clinic 25 miles to the south in San Jose and a primary care-limited subspecialty clinic and a drug and alcohol rehabilitation unit 90 miles south at Ford Ord on the Monterey peninsula. New access points are scheduled to open in Modesto and Stockton in 1997. VAPAHCS operates a total of 1,020 beds, including 205 medical-surgical beds at Palo Alto, 110 psychiatry beds at Palo Alto and Menlo Park, a 100-bed homeless domicilary at Menlo Park, and 379 nursing home beds at Livermore and Menlo Park. VAPAHCS is home to a variety of special regional treatment centers, including a Spinal Cord Injury Center; a Comprehensive Rehabilitation Center; a Traumatic Brain Injury Center; the Western Blind Rehabilitation Center; a Geriatric Research, Educational and Clinical Center; a Homeless Veteran Rehabilitation Program; and the National Center for Post Traumatic Stress Disorder (PTSD). Many of these programs are active teaching sites for Stanford students, housestaff and fellows. In all, VAPAHCS has more than 3,500 employees and has an annual budget in excess of $265 million.

Kaiser Permanente Medical Center, Santa Clara (KPMC SC), located 17 miles southeast of Stanford University Medical Center, is one of 15 medical centers operated by the Kaiser Permanente Medical Care Program in Northern California. KPMC SC has satellite clinics in Mountain View and Milpitas with 337 beds and 321 active physicians on staff. During 1994, KPMC had 86,489 ER visits, 818,487 non ER outpatient visits and 19,489 inpatient admissions.

Santa Clara Valley Medical Center (SCVMC) is operated by the County of Santa Clara and is located 22 miles southeast of Stanford University Medical Center. SCVMC has 650 licensed beds. Of these, approximately 390 are available for general medical acute care and 50 are for acute psychiatric care. The outpatient department (including its six satellite clinics) handles over 440,000 visits annually, and over 60,000 emergency room visits are logged each year

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Facilities for Research

In a 21st century vision statement, the School of Medicine described its research priority as bench-to-bedside, or translating fundamental discoveries in biology and biomedical sciences into applications for improved patient care. Major areas of research interest include the fields of immunology, nucleic acid research, and magnetic resonance spectroscopy and imaging. Other areas of research emphasis include cancer, the neurosciences, heart disease, neonatal and pediatric fields, and reproductive issues. The School of Medicine also houses a major center for research in disease prevention, is recognized at the national level as a center for AIDS research, and has strong programs in heart and bone marrow transplantation medicine. Research activities are supported by the following facilities:

The Edward Durell Stone complex includes the School of Medicine buildings of Edwards, Alway, Lane and Grant. These buildings house the departments of Anesthesia, Comparative Medicine, Functional Restoration, Genetics, Gynecology and Obstetrics, Medicine, Neurology, Neurosurgery, Ophthalmology, Pathology, and Pediatrics and Surgery.

The Arnold and Mabel Beckman Center for Molecular and Genetic Medicine was established in 1989 to translate the fundamental discoveries of molecular biology into new approaches to the prevention and treatment of human disease. The Center is home to the Howard Hughes Unit in Molecular and Genetic Medicine, and the Departments of Biochemistry, Molecular and Cellular Physiology, and Developmental Biology. Investigators in the Howard Hughes Unit represent a broad range of scientific disciplines, from developmental biology to infectious disease, genetic disorders, immunology and neurobiology.

The Louis B. Mayer Cancer Biology Research Laboratory (CBRL) is a vital and integral component of Stanford¡¯s cancer program. It has been the base for the Division of Radiation Biology, where scientists are advancing the understanding of the development and treatment of cancer. It will soon house the Department of Surgery¡¯s new programs in Tissue Engineering.

The Dr. Ralph and Marian Falk Cardiovascular Research Center (CVRC), opened in 1984, houses the academic and research programs of the Department of Cardiothoracic Surgery and the Division of Cardiovascular Medicine. The CVRC is the focal point of a comprehensive program of research, teaching and clinical care of heart disease.

The Sherman Fairchild Center, established in 1972, provides essential support for leading scientific research programs in the Departments of Structural Biology, Microbiology and Immunology, and Neurobiology. The adjoining Fairchild Auditorium is used for lectures by internationally renowned scientists and for medical school classes as well as for campus and public events.

The Redwood Building houses the Department of Health Research and Policy, which is Stanford University¡¯s nucleus for teaching, service, and scholarship in biostatistics, epidemiology, and health services research.

The Human Genome Center at Stanford, supported by the National Center for Human Genome Research since 1992, is located in the Stanford Research Park. Research focuses on the establishment of a high-resolution physical map of the human genome by Radiation Hybrid (RH) Mapping. Researchers from the Center participate in seminars and journal clubs at the School of Medicine and the Center staff conduct teaching programs on the Human Genome Project and its implications for medicine and society.

Medical School Laboratory Surge / Richard M. Lucas Center for Magnetic Resonance Spectroscopy (MSLS/Lucas Center) opened in 1992. The Laboratory Surge facilities have provided contemporary biomedical research laboratories for faculty in the Departments of Dermatology, Medicine, Psychiatry, and Surgery as well as research training opportunities for postdoctoral fellows and graduate research assistants. It will soon provide a home for Neurosciences research in the Department¡¯s of Neurology, Neurosurgery, and Psychiatry. At the west end of the building is the Lucas Center, a haven for radiologists, engineers, physicists, chemists, and other scientists involved in the development of this technology and its rapid transfer into both clinical applications and new research areas.

Department of Veteran¡¯s Affairs Palo Alto Health Care System (VAPAHCS) has one of the Medical Center¡¯s most extensive research programs. Research areas include aging, schizophrenia, Alzheimer¡¯s Disease, cancer, spinal cord related problems, health services delivery, and molecular biological mechanisms of disease. The facility¡¯s Rehabilitation Research and Development Center is also studying ways in which technology and engineering can assist the disabled.

The Center for Clinical Sciences Research (CCSR) was opened during the Spring of 2000. The CCSR provides 214,000 square feet of biomedical research and support space for up to 80 faculty. The new facility is located between the Beckman Center on the east and CBRL/ Redwood/MSLS on the west. Faculty activities in the CCSR are organized within three centers (Cancer, Clinical Immunology, and Human Gene Therapy) each focused on the transfer of basic knowledge to clinical applications. The facility also houses the faculty and laboratory/classrooms of the program in Human Anatomy.

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