M3/M4 Course Offerings
2019-2020 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 17 07
TITLE:
CLIN INFECT DIS AND HIV CARE -IM -ICE
The student will spend two weeks in the inpatient setting evaluating inpatients with infectious diseases including HIV disease. The student will complete the initial and follow-up patient visits and participate in rounds and conferences. During the ambulatory two weeks, the student will see HIV and general infectious disease patients at the Infectious Disease Center under the faculty supervision.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Passing grade in the Internal Medicine 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:
4 wks
DIRECTOR:
Jaime Robertson, MD
jaime.robertson@uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
INSTRUCTOR:
DouglasBrown, MD
SITE(S):
UCMC - University of Cincinnati Medical Center
VAMC
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 07/08/2019 - 08/02/2019 2
2 08/05/2019 - 08/30/2019 2
3 09/03/2019 - 09/27/2019 2
4 09/30/2019 - 10/25/2019 2
5 10/28/2019 - 11/22/2019 2
6 11/25/2019 - 12/20/2019 2
7 01/06/2020 - 01/31/2020 2
8 02/03/2020 - 02/28/2020 2
9 03/02/2020 - 03/27/2020 2
10 03/30/2020 - 04/24/2020 2
11 04/27/2020 - 05/22/2020 2
12 05/25/2020 - 06/30/2020 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:
MSB 6109 8:00 AM

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Conference
  • Patient Presentation--Faculty
  • 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:
Clinical Consulting Fellows
TEACHING:
80% Attending Physician
20% Senior Resident
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
70% Clinical work performance evaluations
20% Attitude, e.g., professionalism, motivation etc
10% Topic presentation
GRADE ASSIGNED BY: Course director

OBJECTIVES

Attitudes :

1.   Learn how to be an effective communicator/consultant

2.   Demonstrate ability to work with other team members

3.   Show empathy for patients

 
Curricular Resources :
Mandel and Schwartz:  Principles and Practice of Infectious Diseases.
Knowledge/Skills:

1.   To recognize, screen and manage patients with HIV:

a.   Demonstrate knowledge about the pathophysiology, natural history, presenting signs

      and symptoms and associated opportunistic infections in patients with HIV

b.   Describe risk factors for perinatal transmission of HIV, tests for screening and

      confirmatory diagnosis and indications for referral including asymptomatic HIV infected

      patients

c.   Describe the staging of HIV infection, the use of laboratory parameters (e.g., CD4

      counts), and general treatment modalities including chemoprophylaxis.

d.   Co-manage patients with HIV with other specialists and refer for management of

      complications (e.g., pregnant patients, AIDS-related malignancies)

e.   Understand how to prevent transmission of HIV after accidental needle stick exposure

f.    Understand ethical, cultural, socioeconomic aspects of illness

g.   Understand occupational and environmental impact of disease

h.   Understand legal and governmental regulations and the impact of cost containment of

      medicine

i.    Demonstrate ability to work and communicate with physicians and non-physicians in a

      collaborative manner

2.   Understand the pathogenesis of infectious diseases, and the various local and systemic

      host-defense mechanisms

3.   Become familiar with the clinical features of common infectious diseases, specifically, upper

      and lower respiratory tract infections, urinary tract infections, sexually transmitted diseases,

      gastrointestinal infections, CNS infections, bone and joint infections, septicemias, AIDS

4.   Become familiar with the in vitro spectrum, pharmacology and major toxicity of important

      antimicrobial agents, e.g., penicillins, cephalosporins, aminoglycosides, tetracyclines,

      clindamycin, erythromycin, trimethoprim-sulfamethoxazole, guinolones, major anti-fungal

      and anti-TB drugs, antiviral and antiparasitic drugs

5.   Understand the rational use of antimicrobial agents taking into consideration the toxicity,

      reported efficacy in various clinical situations, in vitro antimicrobial susceptibility data,

      pharmacology, cost and relative value of alternate agents
Main Course Topics :

1.  Bacterial diseases.

2.  Virological diseases, including HIV.

3.  Fungal diseases.

4.  Diagnostic approaches.

5.  Therapeutic approaches.

6.  Cost-effective therapy.
Objectives:

1.   To recognize, screen and manage patients with HIV:

a.   Demonstrate knowledge about the pathophysiology, natural history, presenting signs

      and symptoms and associated opportunistic infections in patients with HIV

b.   Describe risk factors for perinatal transmission of HIV, tests for screening and

      confirmatory diagnosis and indications for referral including asymptomatic HIV infected

      patients

c.   Describe the staging of HIV infection, the use of laboratory parameters (e.g., CD4

      counts), and general treatment modalities including chemoprophylaxis.

d.   Co-manage patients with HIV with other specialists and refer for management of

      complications (e.g., pregnant patients, AIDS-related malignancies)

e.   Understand how to prevent transmission of HIV after accidental needle stick exposure

f.    Understand ethical, cultural, socioeconomic aspects of illness

g.   Understand occupational and environmental impact of disease

h.   Understand legal and governmental regulations and the impact of cost containment of

      medicine

i.    Demonstrate ability to work and communicate with physicians and non-physicians in a

      collaborative manner

2.   Understand the pathogenesis of infectious diseases, and the various local and systemic

      host-defense mechanisms

3.   Become familiar with the clinical features of common infectious diseases, specifically, upper

      and lower respiratory tract infections, urinary tract infections, sexually transmitted diseases,

      gastrointestinal infections, CNS infections, bone and joint infections, septicemias, AIDS

4.   Become familiar with the in vitro spectrum, pharmacology and major toxicity of important

      antimicrobial agents, e.g., penicillins, cephalosporins, aminoglycosides, tetracyclines,

      clindamycin, erythromycin, trimethoprim-sulfamethoxazole, guinolones, major anti-fungal

      and anti-TB drugs, antiviral and antiparasitic drugs

5.   Understand the rational use of antimicrobial agents taking into consideration the toxicity,

      reported efficacy in various clinical situations, in vitro antimicrobial susceptibility data,

      pharmacology, cost and relative value of alternate agents
Other Resources - Audiovisuals:
Slides of skin manifestation of disease.
Other Resources - Computer resources:

Internet resources, including:

1.  www.aidsinfo.nih.gov

2.  www.iasusa.org

3.  hivinsite.ucsf.edu

4.  www.hopkins-aids.edu

5.  hivguidelines.org

6.  www.HIVinsite.com
Other Resources - Other :

NA
Procedures:
None

SAMPLE WEEK

Monday:
8:00AM 12:00PM See and write-up new patients
12:00PM 1:00PM Lunch
1:30PM 5:00PM Round with attending and team daily, 7062 MSB
Tuesday:
8:00AM 12:00PM See and write-up new patients
12:00PM 1:00PM Lunch and Conference
2:00PM 4:00PM Round with attending and team daily, 7062 MSB
4:00PM 5:00PM ID Conference
Wednesday:
8:00AM 12:00PM See and write-up new patients
12:00PM 1:00PM Medical Grand Rounds
1:30PM 5:00PM Round with attending and team daily, 7062 MSB
Thursday:
8:00AM 12:00PM See and write-up new patients
12:00PM 1:00PM Lunch
1:30PM 5:00PM Round with attending and team daily, 7062 MSB
Friday:
8:00AM 9:00AM Fellows Core Conference
9:00AM 12:00PM See and write-up new patients
12:00PM 1:00PM Lunch and Conference
1:30PM 5:00PM Round with attending and team daily, 7062 MSB
SCHEDULE NOTE:
Sample Outpatient schedule

Monday - Friday, 8:00 am - 12:00 pm   ID Clinic at Holmes Hospital

Monday, Tuesday, Thursday, 12:00 pm - 1:00 pm   Lunch and Conference

Tuesday, 4:00 pm - 5:00 pm   ID Conference

Wednesday, 8:00 am - 12:00 pm  Extended ID Clinic at VAMC 4 North

Wednesday, 12:00 pm - 1:00 pm   Medical Grand Rounds

Friday, 12:00 pm - 1:00 pm   ID Journal Club

Monday - Friday, 1:00 pm - 5:00 pm   ID Clinic at Holmes Hospital

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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