2019-2020 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 15 01
TITLE:
HEMATO-ONCOLO CLIN ELEC UH -IM -ICE
The student will attend clinics and inpatient rounds on patients requiring consultation for hematologic disorders and problems related to cancer. Attendance at Hematology-Oncology Division functions is expected. The ability to recognize, describe and evaluate clinical manifestations of various hematological and oncological disorders will be an outcome.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must successfully complete Internal Medicine Core Clerkship.
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:
Tahir Latif, MD
Tahir.Latif@uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
INSTRUCTOR:
NaglaKarim, MD
SITE(S):
Barrett Cancer Center
Medical Sciences Building
UCMC - Medical Arts Bldg
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
3  MAX/YR: 33
ROTATIONS:
Rotation Dates Max
1 07/08/2019 - 07/19/2019 3
1 07/08/2019 - 08/02/2019 3
1 07/22/2019 - 08/02/2019 3
2 08/05/2019 - 08/16/2019 3
2 08/05/2019 - 08/30/2019 3
2 08/19/2019 - 08/30/2019 3
3 09/03/2019 - 09/13/2019 3
3 09/03/2019 - 09/27/2019 3
3 09/16/2019 - 09/27/2019 3
4 09/30/2019 - 10/11/2019 3
4 09/30/2019 - 10/25/2019 3
4 10/14/2019 - 10/25/2019 3
5 10/28/2019 - 11/08/2019 3
5 10/28/2019 - 11/22/2019 3
5 11/11/2019 - 11/22/2019 3
6 11/25/2019 - 12/06/2019 3
6 11/25/2019 - 12/20/2019 3
6 12/09/2019 - 12/20/2019 3
7 01/06/2020 - 01/17/2020 3
7 01/06/2020 - 01/31/2020 3
7 01/21/2020 - 01/31/2020 3
8 02/03/2020 - 02/14/2020 3
8 02/03/2020 - 02/28/2020 3
8 02/17/2020 - 02/28/2020 3
9 03/02/2020 - 03/13/2020 3
9 03/02/2020 - 03/27/2020 3
9 03/16/2020 - 03/27/2020 3
10 03/30/2020 - 04/10/2020 3
10 03/30/2020 - 04/24/2020 3
10 04/13/2020 - 04/24/2020 3
11 04/27/2020 - 05/08/2020 3
11 04/27/2020 - 05/22/2020 3
11 05/11/2020 - 05/22/2020 3
12 05/25/2020 - 06/12/2020 0
12 05/25/2020 - 06/30/2020 0
12 06/15/2020 - 06/26/2020 0

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 am - 5:00 pm, Monday - Friday
REPORT 1ST DAY:
Medical Sciences Building 6456 8:00 am page the chief fellow

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)
  • Journal Club
  • Ward consults ; presents a case to the attending physician 3 times/week
  • 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:
Fellow on Consult Wards
TEACHING:
70% Attending Physician
30% Senior Resident
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
80% Clinical work performance evaluations
20% Attitude, e.g., professionalism, motivation etc
0% Oral examination (formal)
0% Case management problem(s)
GRADE ASSIGNED BY: Course director

OBJECTIVES

Attitudes :

Appreciate importance of effective communication to patient & family

Understand the supporting role of the consultant to the primary care team

Appreciate importance of life-long learning in field of medicine, specifically in hematology/oncology.

Curricular Resources :

1) Cancer: Principles and Practice of Oncology, 2nd Ed. , author Devita, J.B. Lippincott, Publishers

2) Hemostasis and Thrombosis, Arthur L. Bloom and Duncan P. Thomas, eds, Churchill Livingstone, Publishers

3) Hematology. Williams, Beutler, et al., eds., McGrawHill, Publishers, 4th edition

Knowledge/Skills:

HEMATOLOGY:

1. Interpret normal blood smears and bone marrow morphology.

2. Work up patients with anemia and bleeding disorders: anemia, disorders of hemostasis, leukemia, lymphoma and myeloma.

3. Recognize, describe, and evaluate clinical manifestations of various hematologic disorders.

4. Master physical examination techniques related to hematologic system.

5. Describe and select laboratory studies useful in the diagnosis of hematologic disorders.

6. Learn normal morphology of bone marrow and peripheral blood smears.

7. Describe the importance of nutritional support in patients with various forms of cancer.

ONCOLOGY:

1. Recognize and describe clinical manifestations and management of various oncologic disorders.

2. Demonstrate techniques of physical examination pertinent to oncologic disorders.

3. Recognize clinical effects, side effects, indications of chemotherapeutic agents, corticosteroids, radiation therapy, radioactive material.

Main Course Topics :

Hematology

Oncology

Hemostasis

 

Objectives:
See below.
Other Resources - Audiovisuals:

Various CDs available in Fellow's Room 6456 which can be viewed on the computer.

 

Other Resources - Computer resources:

Available in Hematology Oncology area Rm 6456 MSB & Barrett Center, e.g., Net Wellness

Last Word, Access Anyware, and Magic Web available

UC Telemedicine Initiative (especially for information and cancer screening)

Other Resources - Other :

Microscope Room 6456

Procedures:

HEMATOLOGY:

Perform bone marrow biopsies/aspirations under guidance.

Understand benefits/risk/costs & complications associated with bone marrow aspirations & biopsy

SAMPLE WEEK

Monday:
8:00AM 9:00AM Library Time/Independent Study
9:00AM 12:00PM Hematology/Oncology Clinic
12:00PM 1:00PM Malignant Hematology Conference (Hoxworth 3rd floor)
1:00PM 3:00PM Rounds with Attending
3:00PM 5:00PM Library - Independent Study Time
Tuesday:
8:00AM 11:00AM New Consult Evaluations and Discussion with Fellow
11:00AM 11:30AM Free
11:30AM 1:00PM Breast Cancer Conference 1919 CVC- Lunch
1:00PM 2:00PM New patient Breast Conference - CVC 1919
2:00PM 4:00PM Rounds with Attending
4:00PM 5:00PM Independent Study Time
Wednesday:
8:00AM 9:00AM Coagulation Rounds with Attending - Dr. Joseph Palascak (Vontz 1331)
9:00AM 11:00AM New Consult Evaluations and Discussion with Fellow
11:00AM 12:00PM Independent Study Time
12:00PM 1:00PM Medical Grand Rounds - MSB 5051
1:00PM 2:30PM Rounds with Attending
2:30PM 3:30PM Microscope Rounds (Pathology UH)
3:30PM 5:00PM Independent Study Time
Thursday:
8:00AM 9:00AM Independent Study Time
9:00AM 12:00PM Hematology/Oncology Clinic
12:00PM 1:00PM Independent Study Time
1:00PM 4:00PM Rounds with Attending
4:00PM 5:00PM Independent Study Time
Friday:
8:00AM 9:00AM Hem-Onc Grand Rounds - MSB 4051
9:00AM 12:00PM New Consult Evaluations and Discussion with Fellow
12:00PM 1:00PM Oncology Case Conference with lunch (Vontz Auditorium)
1:00PM 2:00PM Hematology/Oncology Core Lecture (Vontz 1331)
2:00PM 5:00PM Rounds with Attending
SCHEDULE NOTE:
***1st Wednesday of every month from 8-9 am, Transfusion Rounds, Vontz 1331.

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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