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Electives/Selectives - Introductory Information

The Advanced Clinical Elective (ACE)

The Advanced Clinical Elective (ACE) is a required 4-week clinical experience involving the highest level of patient care allowed a medical student. The purpose of the ACE is to better prepare the student for residency. The exercise of clinical thinking and patient care skills (e.g. diagnosis, prognosis, management) under the direct supervision of attending physicians and senior residents is central to the ACE experience. It is expected that a special professional relationship develop between the attending and the student, modeling the principles and commitments of the physician’s professional life. The ACE must be one of the designated rotations.

• You may complete more than one Elective designated as an ACE.
You may not take time off during any Elective scheduled as an ACE.
An ACE must be 4 contiguous weeks in duration.
• Any rotation that is designated as an ACE can also be scheduled as a non-ACE rotation with approval of the elective supervisor.
o You may take pre-approved time to interview during the non-ACE Elective, unless the description/supervisor indicates that no time off can be taken during the rotation.

Each ACE is a clinical experience with primary emphasis placed on enhanced involvement with medical or surgical patients. Each student will work up and manage, together with the residents and attending physicians, the medical or surgical care of selected patients. The ACE may also entail supervised follow-up of discharged patients.

The goal of the ACE is enhancement of the student’s training in clinical medicine by undertaking an important supportive role in the medical management of patients under appropriate physician supervision and guidance. Students will be placed on the same call schedule as an intern and will participate with the upper level resident on assignment. For example, the student will have, if possible, the same night call, weekend call and weekend rounds as the intern.

a. The student will participate in the exercise of advanced clinical thinking and patient care skills under direct supervision of physicians.
b. The student will learn and practice advanced H&P skills and be taught basic procedures depending on the selected ACE. The student will become more proficient in patient presentations, selection of appropriate diagnostic studies, data gathering, data assimilation and patient management. The student will learn how multiple, simultaneous clinical tasks and problems are managed. In the surgical and obstetrical specialties the student will assist the attending physician in surgeries and in births. The student will participate in the diagnosis, preoperative care, surgery and postoperative care of these patients. They will receive advanced instruction in surgical techniques.
c. Students are expected to improve their knowledge base through individual reading and didactic sessions. The experience is patient-centered and based on the patients encountered by the student.
d. The student will demonstrate the qualities of commitment, trustworthiness, integrity, compassion and respect of the patient’s autonomy, confidentiality and need for information. The student will demonstrate professional attributes with regard to professional responsibility.