Medicine

Course #: 892J

Title:  General Internal Medicine Ambulatory Experience

Selective Director(s):  Alan Brown, M.D. and Julius Sagel, M.D.

Maximum Number of students per block: 5

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Demonstrate proper techniques for interviewing a patient to obtain a medical history and performing a physical examination in the ambulatory clinical setting.
2. Demonstrate analysis, synthesis, and integration of pertinent patient data.
3. Formulate a comprehensive, ordered differential diagnosis.
4. Present and document patient data gathered from patient interviews, physical examinations, and laboratory sources in standardized format.
5. Perform diagnostic and lab test interpretation skills commonly used in outpatient Internal
Medicine settings.
6. Apply knowledge of the pathophysiology, epidemiology, and natural history of diseases to the diagnosis and management of common patient conditions in Internal Medicine.
7. Demonstrate effective and professional interpersonal and communication skills in interactions
with patients, including an awareness of psychosocial factors related to patients’ problems.
8. Identify issues related to the cost-effectiveness of diagnostic evaluations and patient care.
9. Identify basic concepts of preventive health care, including patient education, immunization, and appropriate age-specific screening recommendations.
10. Demonstrate professional demeanor and ethical behavior.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Participation in ambulatory clinic activities at the Rutledge Tower General Internal Medicine Clinic, the Bee Street clinic, and community physician offices.
2. Participation in patient care as supervised by the attending and residents in clinics, including work up of a minimum of 1 new patient per clinic session.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

Patients with acute or chronic medical conditions in the following areas:
1. Cardiology
2. Endocrinology
3. Gastroenterology
4. General Internal Medicine
5. Hematology/Oncology
6. Infection Disease
7. Nephrology
8. Pulmonary
9. Rheumatology

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of patient care skills by the attending, residents and fellows on the service.

Please outline when and how the learners will receive feedback on their performance:
The students will give their attending a mid-point evaluation form half way through the selective in order to be assessed on their performance.

Course #: 893J

Title:  General Internal Medicine

Selective Director(s):  Alan Brown, M.D. and Julius Sagel, M.D.

Maximum Number of students per block: 4

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Demonstrate proper techniques for interviewing a patient to obtain a medical history and performing a physical examination in the inpatient setting.
2. Demonstrate analysis, synthesis, and integration of pertinent patient data.
3. Formulate a comprehensive, ordered differential diagnosis.
4. Present patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format.
5. Document patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format.
6. Perform diagnostic and lab test interpretation skills commonly used in Internal
Medicine (i.e. venipuncture, obtain blood cultures, interpret blood smear, interpret urine analysis).
7. Apply knowledge of the pathophysiology, epidemiology, and natural history of diseases to the diagnosis and management of common patient conditions in Internal Medicine.
8. Demonstrate effective and professional interpersonal and communication skills in interactions with patients, including an awareness of psychosocial factors related to patients’ problems.
9. Identify issues related to the cost-effectiveness of diagnostic evaluations and patient care.
10. Demonstrate professional demeanor and ethical behavior.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Attendance at in-hospital rounds services and other clinical activities.
2. Participation in patient care as supervised by the attending and residents on the service, including work up of a minimum of 2 new patients and following a minimum of 3 patients on the service each week.
3. Attendance at noon conferences.
4. Participation in call experiences during the rotation, as indicated below.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

Patients with acute or chronic medical conditions in the following areas:
1. Cardiology
2. Endocrinology
3. Gastroenterology
4. General Internal Medicine
5. Hematology/Oncology
6. Infection Disease
7. Nephrology
8. Pulmonary
9. Rheumatology

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of patient care skills by the attending and residents on the service.

Please outline when and how the learners will receive feedback on their performance:
The students will give their attending a mid-point evaluation form half way through the selective in order to be assessed on their performance.

Course #: 894J

Title:  Subspecialty Consults/Clinics

Selective Director(s):  Alan Brown, M.D. and Julius Sagel M.D.

Maximum Number of students per block: 1 for every block EXCEPT Blocks 8 & 9 where we can take 16 and EXCEPT blocks 15 and 16 where we can take 18.

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Demonstrate proper techniques for interviewing a patient to obtain a medical history and performing a physical examination in the inpatient setting.
2. Demonstrate analysis, synthesis, and integration of pertinent patient data.
3. Formulate a comprehensive, ordered differential diagnosis.
4. Present patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format.
5. Document patient data gathered from patient interviews, physical examinations, and laboratory sources, including progress notes on patients, in standardized format.
6. Apply knowledge of the pathophysiology, epidemiology, and natural history of diseases to the diagnosis and management of common patient conditions in Internal Medicine.
7. Perform diagnostic and lab test interpretation skills commonly used in Internal Medicine.
8. Demonstrate effective and professional interpersonal and communication skills in interactions with patients, including an awareness of psychosocial factors related to patients’ problems.
9. Demonstrate professional demeanor and ethical behavior.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Attendance at in-hospital rounds, clinics, and other clinical activities.
2. Participation in patient care as supervised by the attending and residents on the service, including work up of a minimum of 2 new patients and following a minimum of 3 patients on the service each week.
3. Attendance at noon conferences and/or any conference supplied by the division.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

Patients with acute or chronic medical conditions in the following areas:
1. Cardiology
2. Endocrinology
3. Gastroenterology
4. General Internal Medicine
5. Hematology/Oncology
6. Infection Disease
7. Nephrology
8. Pulmonary
9. Rheumatology

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of patient care skills by the attending and fellows on the service.

Please outline when and how the learners will receive feedback on their performance:
The students will give their attending a mid-point evaluation form half way through the selective in order to be assessed on their performance.

Course #: 895J

Title:  Emergency Medicine

Selective Director(s):  Sam Kini, M.D.

Maximum Number of students per block: 4

LEARNING GOALS AND OBJECTIVES:
At the completion of this clinical rotation, students will be able to:

1. Conduct an initial assessment of a patient in the emergency department (ED) and perform stabilization techniques.
2. Establish a differential diagnosis, and order and interpret appropriate diagnostic tests (including imaging studies) related to the differential diagnosis.
3. Manage acutely ill and/or injured patients.
4. Perform procedural skills (i.e., I.V access, blood drawing from femoral sticks, arterial sticks, sutures, I&Ds, wound care, fracture splinting)
5. Participate in reading EKGs, ABG interpretation, and patient case discussions.

TEACHING METHODOLOGIES AND ROTATION ACTIVITIES:
Students on this rotation will be expected to learn and achieve the educational goals and objectives through the following methodologies and activities:

1. Involvement in direct patient interaction (e.g., conducting history & physical examinations).
2. Participation in group discussions (e.g. bedside teaching).
3. Reading and interpreting x-rays with the ED attending.
4. Attendance at and participation in class room teaching sessions.
5. Learning and practicing procedures under ED attending supervision.
6. Completion a multiple choice question test to enhance knowledge.
7. Completion of a topic assignment for study.

PATIENT ENCOUNTERS
Students on this rotation will be expected to work up and/or follow the following minimum number of patients with the specified conditions (i.e, 2 pediatric ear infections, 2 adult migraine headaches):

1. 2 Patients with chest pain
2. 2 patients with abdominal pain
3. 2 patients with any type of trauma
4. 1 patient with altered mental status
5. 2 procedures

EVALUATION AND FEEDBACK:
Students on this rotation will be evaluated through the following methods, and designate by whom for each method:

1. Direct observation of clinical and patient care skills as evaluated by the ED attending physician
2. Participation (questions and answers) in group discussion as evaluated by the ED attending physician.
3. Performance on the multiple choice exam as graded by the course director.
4. Completion of the topic assignment of study by the course director.

Please outline when and how the learners will receive feedback on their performance:
Learners will receive feedback following each ED shift by the attending ED physician.