Dr. Robert M. Glueck, a member of the TeAMS Faculty and a clinical cardiologist with 29 years of USA practice experience, is teaching a course entitled “Clinical Communication and Reasoning” as part of the third year Internal Medicine rotation. In weekly small group seminars and at the bedside, Dr. Glueck and the students will address each element of a comprehensive patient evaluation, practice thorough and efficient oral presentation and develop a disciplined approach to differential diagnosis. Students will gain experience with the classic “SOAP” progress note format and, in addition, learn a structured approach to the interpretation of plain films, CT scans and EKG’s.
The New York State Advisory Committee on Long-Term Clinical Clerkships has approved the recommendation to place Technion American Medical Students in long term clinical clerkships. This significant development allows the students of TeAMS to spend additional time in the U.S. in order to secure a residency at U.S. hospitals.
The Technion Faculty of Medicine has also been approved by the State of California and found its academic program to be acceptable for clinical clerkship opportunities. The New York State Education Department extensively reviewed the academic curriculum, medical learning environment and resources available at the Technion and found them to be exceptional. Allowing students to spend more time in the U.S. without any restrictions enables students from TeAMS to better prepare for their U.S. residencies and integration in the work-force. The Technion Faculty of Medicine is proud that its academic achievements have been recognized and students of TeAMS can continue to complete clinical training at approved hospitals throughout the U.S. with no limitations. Olivia Diamond (2014), who is heading off to Harvard's Mount Auburn Hospital, is featured by the Westchester Jewish Life: http://www.westchesterjewishlife.com/school3.html From Mount Carmel to Mount Auburn, Technion Medical Student Accepted to Harvard
Read about Olivia Diamond (2014) on the ATS site: http://americantechnionsocietyblog.wordpress.com/2014/05/08/from-mount-carmel-to-mount-auburn-technion-medical-student-accepted-to-harvard/ Dearest friends and family, Four years ago, I began learning the art of healing with the start of medical school at the Technion in Haifa. In two weeks, I will recite the Hippocratic Oath and the Oath of the Rambam and will be conferred the degree of Doctor of Medicine. Whoa. Below, I chose to detail one encounter out of many in an attempt to summarize my past four years. For the sake of confidentiality, the patient story is based on reality, but fictionalized. During my internal medicine clerkship, I saw a poorly compliant 21-year-old Russian immigrant with type I Diabetes Mellitus, and had the eye-opening experience of discussing with her the potentially severe complications of her disease. Because her Diabetes was dangerously out of control, she had multiple hospitalizations for disease complications. At the time of our conversation, it seemed clear to me: take the medication and keep the diabetes in check. The alternative of potentially going blind or needing leg amputations in the future seemed so severe and imminent that it was hard for me to fully appreciate her reasons for non-compliance. Later in the year as part of a training session, I wore an insulin pump for three days. Don’t worry—the pump was injecting normal saline, not insulin. Over the course of those three days, I meticulously counted my carbs, tested my blood glucose levels via needle prick, and before every meal, I inputted into the machine the amount of fake insulin to inject. I slept with the pump and woke up in the middle of the night when I accidentally set off the internal alarm. It was a valuable experience that allowed me to better appreciate the practical realities of wearing such a device. Thus with time, I gained a better understanding of why my 21-year-old patient with type I Diabetes might have disconnected her pump so frequently. My time as a student is quickly ending and I am about to embark on an exciting and challenging journey as resident. In a few short weeks, I will be moving from Jerusalem to Manhattan to start a shomer Shabbat residency position in the Bronx at St Barnabas Hospital. It is a bittersweet move—I am so sad to leave my family and friends in Israel but am very excited about the new stage ahead. If you have any tips for how to survive intern year or how to acclimate to New York, please advise. We should be blessed to continuously have a curiosity for learning and deep compassion for our patients, family, friends and colleagues. Warmly, Rebecca Neril (2014) The 2015 class received individualized attention to prepare for the Step 2 CS exam. Professor Rachel B. Levine MD, MP,Co-Director Faculty Development Program-Teaching Skills at Johns Hopkins Bayview Medical Center spent many hours helping prepare TeAMS students for the upcoming exam. The Technion American Medical Program (TeAMS) is proud to announce the results of the 2014 NRMP Match and placement medical residency programs for its graduates. Provided below is a list of all the US programs to which TeAMS graduates have received residency placements in 2014. Our students have been chosen for the extremely selective and competitive medical residency programs affiliated with the most prestigious universities in the USA including Harvard, Cornell, University of Pittsburgh, Mayo Clinic and the Cleveland Clinic. Moreover, our students have placed into residencies in diverse medical disciplines -Surgery, Internal Medicine, Pediatrics, Neurology, Emergency Medicine, Family Medicine and Anesthesia. The match results were announced at the 2014 Match Party held in the Faculty of Medicine. This is my third blog post as a pediatric intern. It has been almost 2 months since my last post, and much has happened since then. I have been through probably some of the most challenging rotations of the year, and for the first time understand the exhaustion and challenges that every resident faces. 12-16 hour days as a resident can be brutal. But at the same time I have learned more than I could have imagined, and now realize more than ever how much I enjoy pediatrics and how much I am looking forward to becoming a pediatrician in the future. I have gone through 3 completely different rotations, from outpatient pediatrics to neonatal intensive care to pediatric surgery. In outpatient pediatrics, we were exposed to patients from many different cultural groups, and I was struck by how important it was to adapt and change my approach toward the different populations at the clinic. Many of the patients coming there were those that could not afford private medical care, and most were on Medicaid or some sort of reimbursement plan. Moreover, many did not speak English. A large majority of the patients in that clinic were of the Bengali region in India, along with many from China. The contrast between these different population groups was evident, but I was lucky to have multiple translators on site, and I was able to utilize these services to help give the best medical care I could. This experience constantly reminded of my experiences in Israel, when I was required to speak to patients that did not speak English, along with those of different cultural groups that had vastly different traditions. My fellow classmates along with myself had to learn how to approach patients in Israel that were of different faiths, and we also had to figure out ways of alternatively communicating with our patients. The challenges I faced their taught me more of how to approach my patients here that do not speak English, and I am incredibly thankful for that knowledge. After my outpatient experience, I moved on to the neonatal intensive care unit or NICU. The Maimonides nursery is one of the busiest in the US with over 7000 births per year. That being said, the NICU receives many patients that are born premature and/or with complex congenital disorders requiring immediate treatment. The advanced health care present, allowed me to learn how to critically manage a patient, sometimes on my own. I can remember one time in the unit when I was escorting a patient back to the NICU from imaging when the patient stopped breathing. I was able to utilize the teachings I received, not only from my senior residents and attendings at Maimonides on how to resuscitate a child, but also from my extensive NICU experience as a sub-intern at Bnei Tzion Hospital, as well as my experiences with Itay Shavit in the pediatric ER at Rambam Healthcare Campus. On my own, I was able to stimulate the baby, utilize oxygen, and return the baby to the NICU, and to make sure he received adequate care. My attendings and fellow residents helped me, and the baby went home several days later with no distress. The quick recovery of this patient was astounding, and it makes me proud to be a pediatric resident. Moreover, the knowledge I received from my experiences here at Maimonides so far have taught me how to persist and learn as a new doctor. I see the background knowledge I learned in medical school at the Technion coming to use every day, and I am so thankful that I am now able to able to apply it to help save lives. That is the reason that I went into pediatrics, and it gives me even more reason to be proud of coming from the Technion. My next rotation is in the pediatric ER. Maimonides is in the heart of Brooklyn, and 1 of 2 major hospitals in this borough. No doubt, this rotation will be busy and exhausting, yet exhilarating. I have spent a lot of time in the pediatric ER in the past, specifically at Rambam. I am curious to see how the rotations turns out. I look forward to letting you all know soon. Until then, David Steffin, M.D. Pediatric Resident, PL-1 Maimonides Infants and Children's Hospital of Brooklyn Technion American Medical Program, 2012 Dear all,
My name is David Kestenbaum and I am a second year at the Technion American Medical School. My wife Brigitte and I have had a truly amazing experience here and I am extremely pleased with my decision to attend medical school here at the TeAMS program. My class is made up of amazing students with diverse interests, hailing from all over the U.S and Canada. The classes here are excellent, and are all taught in English. Unlike the traditional “lecture hall” styles that seem to prevail at other medical schools, our classes are conducted in a far more personal manner, as evidenced by the fact that most professors know us by name. The upperclassmen are terrific- they make sure we know exactly what’s in store for us and are always there to lend us a hand. My M1-M2 summer has thus far been exhilarating. Aside from spending quality time with my family and friends, I have had the privilege to volunteer in Beth Israel Hospital’s spinal surgery department as well as to participate in a weeklong observership at Baltimore’s famous Shock Trauma center-the highest level trauma center in the country. In one 24-hour shift at Shock Trauma, I saw more serious trauma patients than I had seen in my 6 years as an Emergency Medical Technician in New York City. To be more specific: I saw 2 gunshot wounds, 3 stabbings, 2 car accidents, 3 motorcycle wrecks, a patient who fell down an elevator shaft, and numerous other injuries. Many of these aforementioned patients arrived via helicopter. The amount of knowledge I gained from my experience at the Shock Trauma Center is truly remarkable, which is not surprising in light of the fact that I was able to participate in managing serious trauma patients and to work with a large team in some of the most stressful situations in medicine. I even had the privilege to scrub in on many life-saving surgeries for these patients and, although I had only completed one year at the Technion, I was amazed at how much I knew from our anatomy classes. I was able to follow almost every aspect of every surgery and was very familiar with much of the diagnostic imaging used pre and post-op. I will be spending the rest of my summer working on my thesis and learning the ins and outs of fatherhood- my wife Brigitte gave birth to our son Nathaniel on September 17th 2012. We can’t wait to get back to Israel! David Kestenbaum Technion American Medical Program, Class of 2015 Hey everyone, This is the second post in my blog about my experiences as a pediatric resident. It has been some time since my last post, but it has been an intellectually and emotionally-enlightening several weeks. I finished my time on the main patient floor, and saw pathology that further reinforced why I decided to make this residency program my home. What I found most interesting was the two weeks I spent on the floor at night. There, I was alone with a second and third year resident to run the patient floor and treat over 30 patients. It was initially an intimidating process but being responsible for so many patients without the support of a comprehensive physician team forces you to make decisions for the first time that could significantly impact the course of a patient's health. I constantly thought back to my night shifts during my 3rd year clerkship at TeAMS, at the pediatric department at Ha'emek Hospital in Afula, Israel. One of the residents I worked with encouraged me to calculate important vital signs and make calculations for the fluid requirements that patients would need when entering the ER. Thankfully he persisted to make sure that I was comfortable with making these calculations. That played an essential role in ensuring that I knew how to place orders for patients and make sure that patients were hydrated on the floor, even during an emergency. That was particularly clear when I had to work with a patient that had a fever of 105F and had not eaten or taken in fluids for over 24 hours. Given that he was also vomiting and having intermittent seizures, it was important that I take into account all of the orders necessary to stabilize him. I was able to maintain the patient's health overnight with the help of the other residents and luckily the patient was discharged a few days later in much better health. Although intimidating, this event reminded me of why I wanted to be a doctor and why I wanted to be a pediatrician. I get ready to start working in the NICU, pediatric surgery unit, and pediatric ER in a few weeks, where I will be responsible for efficiently triage patients and thereby deciding whether they need acute care, chronic care, or hospitalization. The hospital I work at is a central Brooklyn hospital with a comprehensive pediatric emergency room. Because of this, it is a very busy ED, and it is absolutely important to remain alert despite the long hours that I will be working. However, I feel prepared for the rotation, and I am excited to start because it is one of the specialties I am strongly considering as a possible fellowship after I finish my residency. One of the main reasons for my enthusiasm and preparedness was my experience working in the Pediatric ER at Rambam Medical Center in Haifa. I worked with the head of the department, Dr. Itay Shavit. He strived to keep the emergency room efficient at all hours of the day and night, and his drive for professionalism and improved clinical care in an acute setting was inspiring. I still remember a busy night in the ER when the whole team was overloaded with patients. Despite this, we were attempting to suture the head of a patient with developmental delay and agitation. While effectively designating tasks to each member of the team to take care of the entire floor, he also managed to combine both calming techniques (DVD/music) with mild sedation to suture the patient successfully. Watching all this, I learned a tremendous amount, and I will take that with me to try and at least effectively manage my own patients on a smaller scale when I am in the ER. David Steffin, M.D. Pediatric Resident, PL-1 Maimonides Infants and Children's Hospital of Brooklyn Technion American Medical Program, 2012 |
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