Medical Student Online Handbook

Contacts
Regardless of your rotation assignment, your administrative contacts while a medical student in Chattanooga are:  Tiffany Nabors, BS, CMA (AAMA), CAP, Medical Student Campus Coordinator and Michael Greer, MD, FACS, RPVI, Interim Dean, Assistant Dean, Undergraduate Medical Education.

Call our main number at 423.778.7442 if dialing from your cell phone or outside Erlanger.  Within Erlanger, you can dial 7442 from any Erlanger line.  The Office of Undergraduate Medical Education is located on the first floor of the Whitehall Building, just across from the main hospital, Erlanger, in Suite 104, just across from the elevators.  If someone needs to reach a medical student by phone during a rotation in the hospital, they should contact the student's personal phones or contact the UME Office if there is an emergency.

Erlanger Procedures
Students must complete a Biographical Information Form prior to the first day of their rotation and orientation day.  Each student will be issued a photo ID badge from the Erlanger Human Resources Office and must wear the Erlanger photo ID badge throughout the rotation.  A $5.00 replacement fee will be charged for lost ID badges.  Students will be issued Erlanger parking placards and a security access card to allow access to various secure areas in the hospital, including the Medical Library.  Each student will be issued a Login and Security Password for the Erlanger hospital computer system (for patient care information).  Each student can elect to be issued a mailbox and key for the Erlanger Post Office.  The mailing address for students is:

John Doe, Medical Student
Erlanger Health System
975 East Third Street
Chattanooga, TN  37403

Students may use the Erlanger Employee Fitness Room (2nd Floor, Erlanger Medical Mall via Elevator A).  The room has various exercise equipment and is accessible by a special code given to students at Orientation.

UT medical students who have paid their student activities fees can use the local UTC facilities (nearby undergraduate campus) which include an indoor pool, eight lighted tennis courts, two indoor tennis courts, six modern racquetball courts, a library, a gymnasium, and bookstores.  For information concerning how UT medical students can utilize these facilities, please contact the UTC staff  (Carol Oglesby) at 423.425.4064 once you have begun your rotation.

The UT Medical Library at Erlanger is located on the 3rd Floor of the Whitehall Building (the same building as the Office of Undergraduate Medical Education  on the first floor and the Department of Internal Medicine on the second floor).  The Library phone is 423.778.4798.  It is staffed M - F, 8:30 am through 4:00 pm.  Students, Residents, Fellows, and Faculty have secure access via their proxy badges 24/7.

Medical Care During a Rotation in Chattanooga

UT Students needing medical care or treatment while rotating in Chattanooga should contact the University of Tennessee at Chattanooga Student Health Services for an appointment, identifying themselves as a UTHSC medical student.  The phone # is 423.425.2266.  UTC and UTHSC have an agreement whereby UT medical students will not be charged for basic medical services provided by Student Health.

Visiting students and UT students may choose to seek medical care or treatment from the Erlanger Academic Internal Medicine (AIM) practice, located on the 6th floor of the Erlanger Medical Mall (Elevator B).  You may also want to use one of the Erlanger Express Care (walk-in clinics) with several locations in Chattanooga and the surrounding area.  Call and confirm that your health insurance will be accepted by by the doctor's office you choose and be prepared to pay your plan's co-payment.

Other Information

Medical student overnight call rooms are available in resident call areas depending on the specialty.  Your proxy badge will permit you access to these areas.  Please just check with your supervising resident if your rotation requires you to take overnight, in-house call.  Showers and bathrooms are also available.

Prior to leaving the UTHSC College of Medicine - Chattanooga, you will be sent a Student Clearance form that should be completed and returned to your department.  You have a QR badge buddy so you can immediately use your cell phone to evaluate your rotation and overall experience.  Your feedback is very important to us.  Once you have returned your Clearance form to your department forms to your department, the staff will return everything  needed to the Office of Undergraduate Medical Education. These items include the Erlanger issued Photo ID Badge, meal card, etc..  They must be returned in order to have grades posted or forwarded to their medical schools.

If students have any questions, they should call their department's student coordinator or Ms. Nabors at 423.778.7442 (extension 7442 if dialing within Erlanger).  Students may also stop by the Office of Undergraduate Medical Education, Suite 104 in the Whitehall Building, directly across the street from Erlanger.

• Eligibility Requirements for Student Rotations
• How to Apply for Student Rotations

Debt management information can be found on the Association of American Medical Colleges website.

UTHSC-College of Medicine - Chattanooga Exposure/Needle Stick Protocol for Medical and PA Students

1. If an exposure/needle stick occurs, the student must notify his/her Supervising Faculty Member and/or Clerkship/Course Director immediately.
   
   
2. Secondarily, the student will seek assistance from the Head Nurse in the area where the exposure occurred or the Erlanger House Supervisor (423.778.6168) to assist in completing an Erlanger Exposure Form for Non-Employees. This form must be sent/given to the Erlanger Infection Prevention and Erlanger ExpressCare/Employee Health.
   
   • • To reach the House Supervisor/Erlanger Administrator On-Call, call 423.778.6168. If there is no answer, please call the Erlanger Operator at 423.778.7000 and ask the operator to the House Supervisor.
       
       
3. The student should also notify the UTHSC College of Medicine - Chattanooga Office of Undergraduate Medical Education as soon as the student reports the exposure by calling 423.778.7442 (leave message if after hours) AND emailing Tiffany.Nabors@erlanger.org  and mse@erlanger.org. 
          *  The student must complete the UT Incident Report Form and email the form to
               riskmanagement@tennessee.edu
   
   
4. The Nursing Supervisor, Administrator On-Call, or Erlanger Employee Health personnel is authorized to order baseline tests per Erlanger Health protocol (g., HIV, Hepatitis panel, etc.) on the student as well as the source patient at no charge to either the student or the patient. Erlanger Health will cover all initial evaluation (lab draw, lab processing/resulting, etc.) costs related to the exposure.
         *  The student may be directed to report to the Emergency Department for screening or
             treatment if the exposure event occurs between 4:00 pm and 8:30 am. Erlanger Employee
             Health Office opens at 9:00 am. If the source patient is known to be positive for HIV,
             Hepatitis the Nursing Supervisor may direct immediate treatment as per Erlanger Health
             Exposure Protocol.
          *  Lab reports will be sent to the Erlanger Employee Health Office when resulted. 
          *  If the student is directed to report to Erlanger Employee Health or the Emergency
             Department, the student should bring a copy of the Erlanger Exposure form with them.
   
   
5. Follow-up care recommendations will be given to the Student by Erlanger Employee Health once all lab reports are reviewed. 
          *  The UTHSC-COM-Chattanooga Student will be financially responsible for any necessary
              follow-up care resulting from the exposure event once initial lab evaluation is completed.
              This care will be coordinated between UTHSC Student Health Services in Memphis,
               Erlanger Employee Health, Erlanger Infection Prevention, and the UTHSC College of
               Medicine administrative offices. 
            *  The UTHSC-COM-Chattanooga student will need to email Jonathan.Moore@erlanger.org 
                for HEPC results 3 – 5 days post exposure.
   
   
6. Important Contact Numbers and Locations:

     Erlanger ExpressCare - Downtown and Employee Health Office is located at:
     325 Market Street, Suite 102
     Chattanooga, TN  37402
     Phone:  423.541.5122 or 423.778.4800.

Erlanger has established a dress code policy for residents and medical students that basically outlines appearance as "neat, clean, and professional." Men should wear business-type slacks with shirt and tie. Women should wear business type dress or suit, or slacks/skirt with neat blouse or top. Conservative dress shoes with socks or hose must be worn. Clean, conservative tennis or running shoes are permitted due to long work and call hours.

Residents must wear UT-issued white lab coats. These have the UT logo monogrammed and denote the individual's name. Each coat also indicates that the individual is a UT Resident in a specific department. Residents must also wear their Erlanger Photo ID badges with the personalized lab coats. Lab coats will be distributed to new residents at New Resident Orientation. Replacement coats for returning residents (with the UT logo and monogrammed name) will be distributed by the end of summer via the departments.

Blue scrub suits are to be worn only in restricted areas of the hospital (ICU, Labor and Delivery, operating rooms, etc.) and are not to be worn outside these areas. Violations of this policy can lead to infection control problems as well as depleting the hospital's supplies of scrub suits for the operating rooms and ICU areas. Erlanger's dress code policy does not allow any employee to leave the hospital in scrub suits.

Medical students follow the same dress code as do residents with a small difference–they wear the short, white lab jackets. UT medical students are required to have the UT Medical Student patch denoting their status as well as continuing to wear the Erlanger Photo ID badge which further indicates their student status.

Both residents and medical students are responsible for laundering their own coats and jackets. Erlanger does not provide laundry service.

Medical students may get scrubs from ScrubX Machines in a specified location of the hospital using their Erlanger issued pin code. As scrubs are taken from the machines, they must be returned to the machines before more are issued. As part of the exit/clearance process, students must have returned all issued scrubs or pay $20 per scrub set.

Medical students are issued meal cards with limited funding up to $30 every two-week block for meals and drinks in the Erlanger Employee Cafeteria (Crossroads). The cafeteria is located midway between the Erlanger Information Desk and the Post Office on the 1st floor of Erlanger and is open between 6:30 am and 8 pm daily. Students should remember to wear their Erlanger issued Photo ID badge and use the white swipe card issued to them at the beginning of the rotation. Snacks are also available in the main Resident Lounge area (East Wing 7) at Erlanger after 5:30 pm each day.

1. All orders written by Medical Students must be signed and cosigned by a resident or attending physician before the orders are implemented by Erlanger staff.
2. All invasive procedures performed (except routine venipuncture) must be supervised by the responsible resident and/or attending physician.
3. A resident or attending physician will be present for all physical examinations done by the Medical Student when such examination includes procedures of an invasive nature. (Invasive procedures exclude pelvic exams and IV therapy.) A nurse chaperon will assist and remain with the patient during all pelvic examinations.
4. Policy and Procedure information will be provided to the Medical Student as needed.

View the policy and turn into UTHSC College of Medicine - Chattanooga during orientation.

Pagers are no longer typically assigned to Medical or UT PA Students.  Please double check this with your department when you have departmental orientation.

Medical and PA Students are able to park in the main Erlanger Parking Garage (levels 3 and above) and have their parking tickets validated each day you report for duty at the hospital at the main information desk as they enter the hospital.  The charges are waived while rotating as a student in Chattanooga.

In-house calls at Erlanger can be made by dialing the last four digits of the Erlanger phone #.

Outside local calls can be made by dialing 19 from any Erlanger phone and then the local #.  For example, dial 19.634.1900 to reach the Hayden Place Apartment Office if assigned to housing there.

Long distance calls pertaining to medical student matters can be made from your department office or the Office of Medical Education (first floor, Whitehall Building, Suite 104 just off the elevator).

Contact: Office of Undergraduate Medical Education (423.778.7442)

Photo ID badges must be worn by medical students at Erlanger at all times. The badges are issued just after their initial orientation in the UME Office.  Each student must submit a "head shot" image file (JPG format) two weeks prior to the rotation so that can be embedded into the ID badge.  The ID badge identifies you as medical student as required by both UT and Erlanger policy.  Wearing your Photo ID badge is important in assuring patients, families and staff that you are, indeed, a medical student who is adequately prepared to take care of patients and is supervised by attending physicians.

Wearing your Photo ID badge is also a requirement to use your meal cards in the Erlanger Employee Cafeteria and to get the 10% discount on food prepared by Sodexo stations.  The discount is not available at partner restaurants such as Chic-Fil-Et, Subway, and Starbucks.

Contact:  Tyler Foran, Erlanger Mail Clerk (423.778.7249)

Medical students may be assigned mail boxes in the main Erlanger Post Office (1st floor Erlanger near the E Elevator). Medical students may obtain a key from the Post Office when they arrive on campus.

The address to which to send medical student mail is:

John Doe, Medical Student
Erlanger Medical Center
975 East Third Street
Chattanooga, TN  37403

DO NOT GIVE OUT PATIENT INFORMATION TO THE PUBLIC!

The Director of Public Relations, RN's, Nursing Supervisors, the Director of Nursing Service, and administrative representatives are the only Erlanger personnel authorized to release any information to the public about a patient's condition or treatment.  Inquiries from news media should be referred to the Public Relations Office or the Vice President in charge.  Requests for photographs of patients should be referred to the Public Relations Director.  Written permission is always required from patients prior to any photographs being taken.  If the patient is a minor, written permission from the patient or guardian is required.

 Severe Weather Procedures for the Chattanooga Campus

Learn about the UTC ARC - Aquatic and Recreation Center.

The University of Tennessee College of Medicine has elective opportunities available at its sites in Memphis, Knoxville, Chattanooga, Nashville, and Jackson for students from other medical schools. 

Process to apply for a visiting rotation at the UT College of Medicine Chattanooga:

1. All visiting students must submit applications through the AAMC's Visiting Student Learning Opportunities (VSLO) platform. All US Allopathic and Osteopathic Schools participate, as do some International Medical Schools.   
2. The UTHSC College of Medicine - Chattanooga and UTHSC College of Medicine Memphis Office of Medical Education will review visiting student applications submitted through VSLO and approve eligibility only for those meeting the criteria listed below.
3. The application will be reviewed by the appropriate clinical department for final approval.

This policy will be applied in conjunction with the guidelines established in the UTHSC College of Medicine Visiting Student Policy #104 below:

POLICY

The University of Tennessee Health Science Center (UTHSC) College of Medicine (COM) will provide elective opportunities at its sites in Memphis, Knoxville, Chattanooga, Nashville and Jackson for students from other medical schools. This policy outlines eligibility criteria, procedural requirements and availability limitations for visiting students.

ELIGIBILITY AND PROCEDURES FOR VISITING STUDENTS

1. Eligibility for a visiting elective is based on academic qualifications.  
   1. A visiting student must be a candidate for the M.D. or D.O. degree in good standing in his/her final year of training at an accredited medical school or from institutions with which UTHSC has a formal exchange program.
   2. A visiting student must have completed instruction in the basic history and physical examination, and have a working knowledge of general ward procedures.
   3. All electives require that the student has completed five core clerkships. 
   4. A student must have met the prerequisites of the elective to which they are applying.
   5. A student must have passed USMLE Step 1 or COMLEX Part 1.
      
      
2. To be accepted as a visiting student, an individual must also:
   1. Pass a criminal background check;
   2. Pass a drug screen;
   3. Carry malpractice/liability insurance coverage in the amount of $1 million per incident and $3 million aggregate, through his/her home institution or other acceptable sources;
   4. Have health insurance;
   5. Have been immunized against measles, mumps, rubella, polio, tetanus, diphtheria, pertussis, influenza, varicella and hepatitis B;
   6. Have two negative TB skin tests in the prior 12 months, and undergone TB mask fitting;
   7. Have been certified in CPR within the past year;
   8. Have completed HIPAA compliance and security training. 
      
      
3. Electives will be made available to visiting students only after all UTHSC students have been scheduled which may occur up until 30 days before the start of the rotation. In aggregate, the elective experience for a visiting student at all campuses is limited to a maximum of 12 weeks during a medical school career.
   
   
4. Any exception to this policy must be approved by the Dean of the respective COM campus at the recommendation of the Department Chair, or his/her designee, who will assume responsibility for verifying that the above requirements have been met.
   
   
5. Academic credit for the elective will be awarded by the visiting student’s home institution. No academic credit will be awarded by UTHSC. 

Currently, students who are regularly enrolled in another medical school and paying tuition at that school are not charged tuition at The University of Tennessee for brief elective periods. This policy may change in the future, and the school reserves the right to charge tuition at any time.

Criminal Background Check:  If your school already requires a criminal background check via VSLO, the UT College of Medicine requires that you submit a copy to Kimberlee Norwood, MA, Medical Educator with the Office of Medical Education at the main medical school campus in Memphis.  You can email Ms. Norwood with any questions about the criminal background check at knorwood@uthsc.edu or call her at 901.448.5506.  Her mailing address is:

Kimberlee Norwood, MA, Medical Educator
UT Health Science Center College of Medicine
Office of Medical Education
910 Madison Ave., Suite 1031
Memphis, TN 38163

If your school does not require criminal background checks and your Dean's Office is not familiar with how to request one, follow the instructions provided by the UTHSC College of Medicine regarding how to obtain a criminal background check for medical students.  The visiting student will be responsible for the cost of the background check.  If your medical school is not listed in the drop down list as you follow the directions, select UT Health Sciences Center - Memphis/College of Medicine.

If you have additional questions about rotations in Chattanooga, please contact Tiffany Nabors, BS, CMA (AAMA), CAP, Medical Student Campus Coordinator (423.778.7442 or via email tiffany.nabors@erlanger.org).