2018-2019 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 27 06
TITLE:
CLINICAL PULMONARY MED UH -IM -ICE
Students participate in inpatient and outpatient pulmonary consultation and evaluation and participate in pulmonary procedures including thoracentesis, pleural biopsy, bronchoscopy, pulmonary function, exercise testing.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must be fourth year medical student.

expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
YES
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 or 4 wks
DIRECTOR:
Peter Lenz, MD
Peter.lenz@uc.edu
558-0588
MSB, 6166
ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
INSTRUCTOR:
Patricia Joseph, MD
SITE(S):
UCMC - University of Cincinnati Medical Center
University Hospital
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 07/02/2018 - 07/13/2018 2
1 07/02/2018 - 07/27/2018 2
1 07/16/2018 - 07/27/2018 2
2 07/30/2018 - 08/10/2018 2
2 07/30/2018 - 08/24/2018 2
2 08/13/2018 - 08/24/2018 2
3 08/27/2018 - 09/07/2018 2
3 08/27/2018 - 09/21/2018 2
3 09/10/2018 - 09/21/2018 2
4 09/24/2018 - 10/05/2018 2
4 09/24/2018 - 10/19/2018 2
4 10/08/2018 - 10/19/2018 2
5 10/22/2018 - 11/02/2018 2
5 10/22/2018 - 11/16/2018 2
5 11/05/2018 - 11/16/2018 2
6 11/26/2018 - 12/07/2018 2
6 11/26/2018 - 12/21/2018 2
6 12/10/2018 - 12/21/2018 2
7 01/02/2019 - 01/25/2019 2
7 01/14/2019 - 01/25/2019 2
8 01/28/2019 - 02/08/2019 2
8 01/28/2019 - 02/22/2019 2
8 02/11/2019 - 02/22/2019 2
9 02/25/2019 - 03/08/2019 2
9 02/25/2019 - 03/22/2019 2
9 03/11/2019 - 03/22/2019 2
10 03/25/2019 - 04/05/2019 2
10 03/25/2019 - 04/19/2019 2
10 04/08/2019 - 04/19/2019 2
11 04/22/2019 - 05/03/2019 2
11 04/22/2019 - 05/17/2019 2
11 05/06/2019 - 05/17/2019 2
12 05/20/2019 - 06/02/2019 2
12 05/20/2019 - 06/30/2019 2
12 06/03/2019 - 06/30/2019 2

NOTE: If a rotation is offered in both 2 and 4 week slots, the max capacity is limited to the actual spots offered for the 4 weeks. (ie: the 2 week rotations listed share the max of the 4 week rotation)
WORKING HOURS:
8:00 a.m. - 5:00 p.m., Monday-Friday
REPORT 1ST DAY:
MSB 6053 8:30 a.m. email Dr. Lenz ahead of time @ Peter.Lenz@uc.edu

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
  • Research
LEARNING ENVIRONMENT POLICIES:
UCCOM strives to provide medical students with a learning environment that is conducive to their professional growth. All UCCOM and visiting medical students are encouraged to review the Student Handbook.

The Office of Student Affairs and Admissions is available to all UCCOM and visiting medical students to discuss any concerns/questions related to the learning environment. Please call 558-6796 to access faculty/staff that can assist you.
ORIENTATION:
The pulmonary attending on duty and also the pulmonary fellow who is in charge of the team.
TEACHING:
70% Attending Physician
30% Senior Resident
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
60% Clinical work performance evaluations
30% Attitude, e.g., professionalism, motivation etc
5% Journal club, critical review of literature
5% Topic presentation
GRADE ASSIGNED BY: Elective director

OBJECTIVES

Attitudes :

1. Interact well with colleagues, patients, patients' families

2. Be prompt for rounds

3. Always maintain a professional appearance

Curricular Resources :

Murray, Nadel   Textbook of Respiratory Medicine

West                   Respiratory Physiology

Students, fellows, and faculty will be responsible for researching and obtaining articles on various pulmonary topics throughout the rotation.

Knowledge/Skills:

1) Take a history and complete a physical examination in pulmonary medicine.

2) Work up common pulmonary problems and diseases:

Cough

Hemoptysis

Dyspnea

Pulmonary disability evaluation

Asthma

Tuberculosis

Emphysema

Bronchitis

Pneumonias

Fungal Diseases

Lung Cancers

Interstitial Lung Diseases

Sarcoidosis and other granulomatous diseases

Opportunistic pulmonary infections

Pneumoconioses

Cystic Fibrosis

3) Interpret blood gas results, simple and routine pulmonary function tests.

4) Read and interpret routine chest roentgenograms.

5) Review and discuss cost-efficient evaluations and decision-making, risk/benefit issues in above pulmonary problems.

6) Discuss ways of prevention of lung disease.

Main Course Topics :

Cough

Hemoptysis

Dyspnea

Pulmonary disability evaluation

Asthma

Tuberculosis

Emphysema

Bronchitis

Pneumonias

Fungal Diseases

Lung Cancers

Interstitial Lung Diseases

Sarcoidosis and other granulomatous diseases

Opportunistic pulmonary infections

Pneumoconioses

Cystic Fibrosis

Bronchoscopy

Thoracocentesis

Objectives:

Other Resources - Audiovisuals:

Atlas/text on pulmonary anatomy/physiology

Visit/time in PFT lab

Other Resources - Computer resources:

Division/fellow personal computer including slide-making capacity.

Online learning resources:

Chest imaging:  radiologyassistant.nl

Pulmonary and critical care lecture, located online at:  http://www.learnicu.org/Clinical_Practice/Fundamentals/RICU/Pages/AICUModules.aspx

Pay attention to pulmonary embolism, VTE, and infectious disease.

Other Resources - Other :
Fellow text and journal pulmonary library.
Procedures:

Observe and know indications/contraindications in invasive techniques of working up pulmonary problems such as bronchoscopy, needle biopsy of the lung, pleural biopsy, thoracentesis.

SAMPLE WEEK

Monday:
8:30AM 12:00PM See consults
12:00PM 1:00PM Pulmonary Pathology or Research Conference
1:30PM 5:00PM Consult Rounds
Tuesday:
8:00AM 10:00AM See consults
10:00AM 12:00PM Consult Rounds
12:00PM 1:00PM X-ray Conference
1:30PM 5:30PM Pulmonary Outpatient Clinic - UH
Wednesday:
7:30AM 10:00AM See consults
10:00AM 12:00PM Resident/Fellow lecture
12:00PM 1:00PM Grand Rounds
1:30PM 3:30PM Pulmonary and Critical Care Medicine Lectures
3:30PM 5:00PM Consult Rounds
Thursday:
8:00AM 10:00AM See consults
10:00AM 12:00PM Consult Rounds
12:00PM 1:00PM Fellows Conference
1:30PM 5:00PM Consult Rounds
Friday:
8:00AM 12:00PM See consults
1:30PM 4:00PM Consult Rounds
SCHEDULE NOTE:
*Mon. 12-1 PM1st & 3rd Mon = Pulmonary Research Conference; 2nd Mon = Pulmonary Pathology Conference; 4th & 5th Mon = Journal Club

ATTENDANCE AND ABSENCE POLICY

 

Session Attendance for M4 Students

  • Students may miss no more than two days of planned excused absences on a four week rotation without being required to make-up the work, at the discretion of the clerkship/elective/course director or his/her designee.
  • Non-AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the clerkship director to best align with the site schedule. Students may request to schedule 1 or more of these 4 days for planned absences that fall under 1 of the categories listed below for excused absences during non-AI rotations, in consultation with the course/elective director, who may or may not approve such planned absences.
  • AI Rotations - Per the Student Duty Hours Policy, an average of one day (24 hours) in every seven must be free of clinical responsibilities (including seminars, clinic, rounds, lectures) averaged over a four week period. These days off are assigned by the course director to best align with the site schedule. Students may request to schedule 1 or 2 of these days for planned absences that fall under 1 of the categories listed below for excused absences during AI rotations, in consultation with the course director, who may or may not approve such planned absences. Students must avoid scheduling Step 2 examinations during an Acting Internship.
  • Excused Absences - The following will be considered excused absences:
    • Diagnostic, preventative, and therapeutic health services (e.g. doctor appointments, physical therapy, counselling, etc).
    • Personal illness, accident or a major catastrophic event
    • Death or serious illness of immediate family members. Immediate family members, as defined by UC, are Grandparents, Brother, Sister, Brother-in law, Sister-in-law, Daughter-in-law, Son-in-law, Father, Mother, Mother-in-law, Father-in-law, Step-sister, Step-brother, Step-mother, Step-father, Spouse or domestic partner, Child, Grandchild, legal Guardian or other person who stands in place of parent (in Loco Parentis)
  • Whenever possible, planned absences should be requested a minimum of six weeks in advance of the start of the clerkship/elective/course in which the absence will occur; this enables the clerkship/course/elective to help plan for educational event scheduling (e.g. a known appointment could be scheduled around with enough notice and the student might not have any required coursework to make up). Absences requested less than 1 week prior to the planned absence may not be considered for a possible excused absence unless extenuating circumstances prevented the student from providing timely notification per the policy. Students should first submit their request for a planned absence to the clerkship/elective/course director using the online MSSF. All planned/excused absences for any reason should be documented on the MSSF.
  • The COM abides by the UC Religious Observance Policy that respects the religious diversity of its students by providing opportunities, where possible, for accommodation in cases where conflicts exist between students’ religious beliefs/practices and educational activities. In clinical settings, such accommodations must honor the primacy of a commitment to patient care and avoid unduly burdening faculty, staff and the general student population involved in the affected educational and/or patient care activity.
  • The following items are explained in detail in the Medical Student Handbook:
    • Excused/unexcused/unplanned absence, religious holidays, jury duty, and make-up work

See Attendance and Absences Policy, Religious Observance Policy, Medical Student Handbook.




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