DMS Viewbook 2010

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<p>20102011</p> <p>Dartmouth-Hitchcock Medical Center; Lebanon, NH</p> <p>California Pacific Medical Center; San Francisco, CA</p> <p>Veterans Affairs Medical Center;White River Junction,VT</p> <p>From HereOverview</p> <p>H</p> <p>ere, you will learn from renowned teachers, clinicians, and researchers who are transforming medicine in practice and in policy. Here, you will start interacting with patients week one,Year One. Here, you will gain hands-on clinical experience in a program uniquely designed to expose you to a broad array of patient populations and training sites, from Dartmouths affiliated state-of-the-art medical center, to urban hospitals to health clinics in Africa.</p> <p>Here, you have the flexibility to explore your calling, whether you are headed for a career in medical research and teaching, subspecialty practice, primary care, or healthcare policy. Here, you will learn with your head and your heart and set a course for lifelong learning. And from herehaving studied both the science and the art of medicine at a school with a two-hundred year history of innovationyou can go anywhere. Because at Dartmouth Medical School, the nations fourth oldest, there are no barriers to becoming the physician, the scientist, and the person you want to be.There are only opportunities.</p> <p>Here, you will be a valued member of a medical community where collaboration is the norm with students, with faculty, with patients, and across disciplines. Here, you will share a beautiful Ivy League campus with Dartmouth College and its professional schools in business and engineering the ideal environment for interdisciplinary innovation. Here, you will work hard but be encouraged to have a healthy personal life outside medical school, to stay connected to family and friends, to serve your community, and to care for your own well-being.</p> <p>Dartmouth Medical School Milestones 1797 Nathan Smith founds Dartmouth Medical School, the nations 4th oldest 1838 Stethoscope introduced to US medical curriculum by poet-physician Oliver Wendell Holmes, a member of the DMS faculty 1896 First clinical x-ray in America taken at Dartmouth 1955 Special-care unit established at Dartmouth, considered the nations first multispecialty ICU 1981 The first continuous infusion pump for pain management developed and implanted at DHMC 1983 Nations first autologous bone marrow transplant on a patient with acute myeloid leukemia performed at DHMC 1996 The first Dartmouth Atlas of Health Care published 2001 Micro RNAs discovered at Dartmouth 2005 Release of HPV vaccine proven effective by clinical trials at Dartmouth</p> <p>to Anywhere.</p> <p>We try to figure out what medical students need to become better physicians, and then we do it. Curriculum</p> <p>D</p> <p>MSs curriculum is as dynamic as the world of medicine itself. Each year, Dartmouth reviews all four years of the curriculum to keep pace with medicines rapid advances and complexities, and to assure that you develop competencies in six broad areas: medical knowledge; clinical skills; interpersonal and communications skills; professionalism; personal assessment and improvement in the practice environment; and managing patient care in a complex health care system.When you leave Dartmouth, you will have the tools, the skills, and the attitudes necessary for a lifetime of learningone of the realities and rewards of practicing medicine in the 21st century.Year One introduces you to the basic and</p> <p>fundamental biomedical sciences and to the normal structure and function of the human organism. Starting week one, you also work with clinicians at our affiliated academic medical centers or in the community through the On Doctoring course to develop clinical skills while exploring firsthand the many issues that relate to the doctor-patient relationship.The faculty has also developed (and continues to develop) short electives based on student input, allowing you to explore subjects of interest outside the core curriculum. DMSs On Doctoring course pairs first and second-year students with an experienced clinician who works in a local community. As one student remarks, Its wonderful in the midst of first year when were learning biochemistry and microbiology and physiology and all those things to have a chance to see patients; to talk to them. It makes all the basic sciences much more relevant.</p> <p>Dartmouth Medical School was founded in 1797 Located in Hanover, New Hampshire With a broad science</p> <p>Flying Squirrel Graphics</p> <p>In the first semester of medical school, Ann Davis, M.D., Chief of Medical Student Services presents a student with the traditional white coat, symbolizing their commitment to professionalism and empathy in the practice of medicine. Sample electives Years One and Two: Special Topics in Womens Health Advanced Cardiac Physiology Culture, Emotions, and Medicine Death and Dying Medical Ethics Health Care Reform Introduction to International Health Complementary Medicine Medical/Legal Issues of Reproduction Wilderness Medicine Medical Spanish Over a dozen research electivesYear Two. Along with continued clinical</p> <p>training through the On Doctoring course, the major component of Year Two is an interdisciplinary pathophysiology program the Scientific Basis of Medicineconsisting of 14 separate but coordinated courses. System by system, you learn about diseases and their consequences, as well as the available drug treatments. For example, the pharmacology of antiseizure drugs is taught simultaneously with the SBM course about the nervous system. Practicing clinicians teach about 90 percent of the subject matter.</p> <p>I came to Dartmouth because from Dartmouth I can change the world. There is a vision here and a commitment that makes it possible to do here what I could do nowhere else. Ira Byock, M.D., Director of Palliative Medicine at Dartmouth-Hitchcock Medical Center; author of The Four Things That Matter Most; Past President of the American Academy of Hospice and Palliative Medicinefoundation and excellent clinical teaching, DMS prepares students for the full spectrum of choices in medicine 3</p> <p>Dartmouth prepares you for the tests, but the curriculum goes far beyond teaching the basics of medicine. Brett Chevalier, DMS Year FourYear Three includes required clerkships</p> <p>in the six major clinical disciplines: Internal Medicine, Surgery, Obstetrics and Gynecology, Pediatrics, Psychiatry, and Family Medicine.These seven-week clerkships are completed at our two affiliated academic medical centers (the Dartmouth-Hitchcock Medical Center and the Veterans Affairs Medical Center in White River Junction,Vermont), regional teaching hospitals, regional office practices, and more distant medical centers and</p> <p>hospitals to provide our students with an exceptionally broad array of clinical clerkship experiences. DMS-affiliated clerkship sites include Indian Health Service medical centers in Alaska and Arizona, Hartford Hospital in Connecticut, and California Pacific Medical Center in San Francisco. (For a complete listing of offsite clerkships, see page 19).The Year Three schedule was recently revised to allow students to take 4-6 weeks of clinical electives as well as the six required clerkships.</p> <p>M.D.-Ph.D. student Aimee Boegle participates in a practice patient interview.</p> <p>Berlin, NH Bradford, VT White River Junction, VT Randolph, VT Wells River, VT Augusta, ME Woodsville, NH Plymouth, NH Lebanon, NH Meredith, NH</p> <p>South Royalton, VT Windsor, VT Claremont, NH</p> <p>DMS clinical clerkship training sitesSan Francisco, CA Tuba City, AZ Fort Defiance, AZ Orange County, CA</p> <p>Portland, ME Laconia, NH Wolfeboro, NH Newport, NH Springfield, VT Exeter,NH Concord, NH Keene, NH Manchester, NH Londonderry, NH Brattleboro, VT Merrimack, NH Nashua, NH Bedford, NH Peterborough, NH</p> <p>Pawtucket, RI Hartford, CT</p> <p>Bethel, AK</p> <p>On Doctoring class begins students clinical instruction at the start of Year One The C. Everett Koop Institute 4</p> <p>One of the hallmarks of training here for our third-year students is that they are really seen as our junior colleagues rather than students in training. Dr. Leslie Fall, Associate Professor of Pediatrics</p> <p>Year Four. In addition to two required four-week clerkships (Neurology, as well as Geriatrics and Ambulatory Medicine), you are required to take an advanced four-week subinternship in the field of your choice. During Year Four, you also complete 12 to 24 weeks of electives, choosing from a wealth of opportunities on campus, across the US, and around the world.You can also design your own elective with the support of a DMS faculty member.All students must also complete four short courses on advanced clinical subjects: Health, Society, and the Physician, Clinical Pharmacology and Therapeutics, Advanced Cardiac Life Support, and Advanced Medical Sciences.These capstone courses prepare students to excel during their residency programs and enhance their lifelong learning skills.</p> <p>Dartmouths Interactive Media Laboratory specializes in combining emerging technology with innovative instructional programs for both patients and health-care providers.</p> <p>at Dartmouth focuses on preventive health, communication, and building students humanitarian ethic5</p> <p>Dartmouths whole educational process our ability to take discoveries from the</p> <p>Dr. Murray Korc, says third-year medical student Jamie Bessich, is as much at home discussing college sports as he is differential diagnoses of chest pain. He moves from one to the other so seamlessly that he is able to engage everyone, from year-three students to attending physicians simultaneouslyno easy feat.</p> <p>DMSs innovative curriculum combines small-group discussions, problem-based learning, independent 6</p> <p>is geared toward improving laboratory to patients.When Dr. Murray Korc arrived at Dartmouth in 2003, he was already considered a pioneer in early research on growth factor receptors in pancreatic cancer, one of the most deadly and aggressive forms of cancer. Today, as the Chair of the Department of Medicine, Associate Dean for Clinical and Translational Research, and Professor of Medicine and Toxicology at DMS, Korc is also seen as a gifted clinician and valued faculty member. One of Korcs responsibilities is to train thirdyear students on their medicine rotations. As Dr. Harold Friedman, long-time member of the Admissions Committee states, You only have to listen to the penetrating questions Dr. Korc poses at the end of medical grand rounds to see the kind of intellectual excitement he generates. His breadth of knowledge infuses the entire department and inspires our students. Dr. Korcs breadth of knowledge clearly inspires his fellow Dartmouth researchers as well. Together, they have made exciting progress in determining what factors enable pancreatic cancer cells to grow so rapidly, as well as potential methods to slow that rate down and actually suppress tumor growth. Korcs research team found that VEGF actions can be blocked in pre-clinical models with a soluble receptor protein. This investigation has led to a phase-one study in humans, with Dartmouth being just one of two sites nationally where this therapy is being tested. As a notable translational researcher and clinician, Korc emphasizes that his efforts are but one of many examples at Dartmouth where physicians, scientists, faculty, and students work together toward a two-fold goal: to find better ways to advance biomedical knowledge and care for human beings. Given Dr. Korcs area of expertise, that model is paramount. The mortality rate of pancreatic cancer virtually equals its incidence, and too many patients die within six months of diagnosis, Korc explains. Thats why were so excited about this research; that it might lead to more advances in the treatment of pancreatic cancer. Its an ongoing struggle and the work is challenging, he adds, but progress is being made all over the world, and our students are helping lead it.</p> <p>Physician-Scientiststudy, and in-class lectures to supply focus and support while fostering individual learning and creativity 7</p> <p>Its a phenomenal learning environment. Faculty</p> <p>D</p> <p>artmouth faculty members are renowned not only for their leadership in diverse facets of medicine, but also for their personal approach to teaching.They serve as your instructors, role models, mentors, and team-members in the clinic and in the lab. They are vested in your success at school and beyond and demonstrate their commitment in many ways, whether its organizing a weekend review session or inviting you to their home for Thanksgiving dinner. As one student says, The professors dont just have office hours from one to three on a Friday afternoon.Their doors are open all the time.</p> <p>In 2009, Jay Dunlap, Ph.D., Professor and Chair of Genetics at DMS, was elected to the National Academy of Sciences. He cloned the first microbial clock gene in 1986 and over the subsequent two decades has pieced together the intricate web of clockwork genes, proteins, and feedback loops that drive circadian rhythms, often working with colleague Dr. Jennifer Loros, a professor of biochemistry.</p> <p>DMS and DHMC represent a seamless blend of collegiality and individual expertise that begins at the medical student level and extends to the highest level of faculty. There are free exchanges of ideas across broad topics, from ski racing and kayaking to cancer immunotherapy. Leslie DeMars, M.D., Assistant Professor of Obstetrics and Gynecology</p> <p>Second-year students in the On Doctoring course work with Dr. Joseph ODonnell, Professor of Medicine, practicing their clinical skills.</p> <p>The fulltime on-site faculty-to-student ratio is about 2 to 1 Students who are interested in a particular field of 8</p> <p>Developed by DMSs Drs. Leslie Fall and Norm Berman, the Computer-Assisted Learning in Pediatrics Project (CLIPP) is currently in use in more than 100 medical schools in the United States,with an average of 4,0005,000 CLIPP cases completed each week. In 2008, CLIPP received the Outstanding Teaching Award from the Academic Pediatrics Association.</p> <p>The first- and second-year profs go out of their way to make sure were learning what we need to learn. And then when you get to the hospitals and see them on the wards interacting with patients and doing consults, its even more inspiring. Rachel Kornik, DMS Year Three</p> <p>medicine are mentored by faculty members from that department who can provide residency and career advice</p> <p>The highlight of my career.</p> <p>Suddenly cells are changing shape, extending processes, looking completely different, says Vivianne Tawfik, an M.D.-Ph.D. student who works with Dartmouth researcher Joyce DeLeo on her work in drug development to treat chronic pain. Science is usually shades of gray, but this was a real wow.</p> <p>StudentMore than 220 research projects are underway at Norris Cotton Cancer Center DHMC is New Hampshire's 10</p> <p>As a professor of anesthesiology and pharmacology, a researcher on chron...</p>