Length of Elective: 4-Weeks or 8-Weeks
Prerequisite: Internal Medicine Core Course
Swee Lay Thein, MBBS, DSc
The medical student will be involved in the care of sickle cell patients on both standard of care and investigational treatment protocols at the NIH Clinical Center (CC) of the National Institutes of Health (NIH). The sites of care involve the outpatient clinic and day hospital (infusion clinic), with an emphasis on outpatient care. The experience will be different than academic centers or university based centers because of the research emphasis at the CC at NIH.
a) Gain didactic knowledge and practical experience of sickle cell disease in adults, specifically the progression and management of acute complications such as vaso-occlusive pain crisis, infection, acute chest syndrome, and stroke.
b) Gain didactic knowledge and practical experience in adults with chronic pain, cardiopulmonary complications, retinopathy, sickle nephropathy, and avascular necrosis of bone.
c) Gain didactic knowledge and practical experience with the standard therapies for sickle cell disease, including hydroxyurea, red cell transfusion, exchange transfusion, and iron chelation therapy from red cell transfusions. Gain experience in the management of high dose opioid therapy, oral and parenteral, including patient-controlled analgesia.
d) Gain practical experience with psychosocial challenges posed to patients with a chronic illness, and exposure to minority health issues.
e) Gain exposure to basic and clinical research in sickle cell disease currently being conducted at the NIH and to recent research findings being presented at weekly research conferences and journal club presented by the sickle cell research groups at the NIH.
List of professional staff:
Swee Lay Thein, MBBS, DSc, Chief, Sickle Cell Branch, NHLBI
Other professional staff:
Hans Ackerman, M.D.
Oswaldo Castro, M.D.
Courtney Fitzhguh, M.D.
Swee Lay Thein, M.D.
Arun Shet, M.D.
John Tisdale, M.D.
Narges Weir, M.D.