2019-2020 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 09 05
TITLE:
CLINICAL HEPATOLOGY UH -IM -ICE
In this combined inpatient and outpatient elective, the student learns to care for patients with hepatobiliary disorders through performance of inpatient consultations, attendance of outpatient clinics, and observation of various endoscopic procedures. Attendance at weekly GI conferences is also expected.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Passing grade in the 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:
4 wks
DIRECTOR:
Donald Schoch, MD
Donald.Schoch@uc.edu
558-5588
MSB, 6467
ADMINISTRATIVE SUPPORT PERSON:
Julie Karpe
Julie.Karpe@uc.edu
558-2426
MSB, 3504
INSTRUCTOR:
KamranSafdar, MD
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/08/2019 - 08/02/2019 1
2 08/05/2019 - 08/30/2019 1
3 09/03/2019 - 09/27/2019 1
4 09/30/2019 - 10/25/2019 1
5 10/28/2019 - 11/22/2019 1
6 11/25/2019 - 12/20/2019 1
7 01/06/2020 - 01/31/2020 1
8 02/03/2020 - 02/28/2020 1
9 03/02/2020 - 03/27/2020 1
10 03/30/2020 - 04/24/2020 1
11 04/27/2020 - 05/22/2020 1
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 - 6:00 pm Monday - Friday
REPORT 1ST DAY:
UCMC Digestive Dis. Diagnostic Center 2nd Floor 8:00 AM (page liver 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)
  • 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:
Fellow and Attending Physician on Liver Consult Service for each Month
TEACHING:
30% Attending Physician
40% Senior Resident
20% Other Faculty
10% Conferences/lectures
FEEDBACK:
Attending
ASSESSMENT:
FINAL GRADE:
70% Clinical work performance evaluations
10% Attitude, e.g., professionalism, motivation etc
10% Journal club, critical review of literature
10% Topic presentation
GRADE ASSIGNED BY: Course director

OBJECTIVES

Attitudes :

1.       Demonstrate and understand the important of communication between consultations and the consulting team and with the patient and their families.

2.       Appreciate the education role played by the consulted both for the patient and the consulting team.

3.       Understand the importance of providing clear recommendations based upon medical evidence supported by he literature.

4.       Learn the importance of preventive and screening strategies to reduce the incidence and/or complications of hepatobiliary diseases.

 

Curricular Resources :

 Feldman M, Friedman LS, Brandt LJ.  Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 8th edition, Saunders 2006.

Boyer TD, Wright TL, Manns MP.  Zakim and Boyer's Hepatology -- A Textbook of Liver Disease.  5th edition, Saunders, 2006.

Schiff ER, Sorrell MF, Maddrey WC.  Schiff's Diseases of the Liver.  10th edition, Lippincott, Willians & Wilkins, 2006.

Knowledge/Skills:

 

1.       Obtain a working understanding of the major hepatobiliary disorders.

2.       Succinctly evaluate, synthesize, and present the essence of the patient’s illness.

3.       Development of diagnostic and treatment plans for patients with hepatobiliary diseases.

4.       Interpret abdominal X-rays, liver histology, and laboratory tests.

5.       Know the cost-effective use of diagnostic tests and therapies in hepatology.

6.       Develop an understanding of the appropriate indications for consultation of a hepatologist.

7.       Critically review the literature to facilitate effective recommendations for patient care and management.

8.       Properly interpret the results of upper gastrointestinal endoscopy and other interventional procedures (e.g. liver biopsy, transjugular biopsy, TIPS, angiography).

9.       Know the indications for, utility of, and contraindications of standard gastrointestinal and interventional procedures related to the liver and biliary tract.

Main Course Topics :

1.           Alcoholic liver disease (chronic and acute)

2.           Viral hepatitis

3.           Cholestatic syndromes (granulomas, primary biliary cirrhosis, sclerosing cholangitis)

4.           Drug induced liver injury

5.           Hepatobiliary neoplasms

6.           Complications of chronic liver disease (varices, ascites, encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, hyponatremia)

7.           Hepatic infections, including manifestations of HIV

8.           Inherited gastrointestinal disorders (Hemochromatosis, Wilson’s, A1AT deficiency)

9.           Pre- and post-liver transplantation management

10.        Ethical issues in hepatology

 

Objectives:

See below.

 

    

 

  

Other Resources - Audiovisuals:

N/A

Other Resources - Computer resources:

Internet resources, including:

 

               1.     http://www.gastro.org/

               2.     http://www.aasld.org/

               3.     http://www.liverfoundation.irg/

               4.     http://dve1.mpg.harvard.edu/mission.cfm

 

Other Resources - Other :

N/A

Procedures:

1.       Observe colonoscopy, EGD, endoscopic ultrasound, ERCP.

2.       Perform large-volume paracentesis.

 

         

SAMPLE WEEK

Monday:
8:00AM 10:00AM Rounds
10:00AM 1:00PM Outpatient Procedures/Consults
1:00PM 6:00PM Post-transplant Clinic (MAB)
Tuesday:
8:00AM 10:00AM Rounds
10:00AM 11:30AM Outpatient Procedures/Consults
12:00PM 1:00PM Liver Transplant Conference
1:00PM 6:00PM UH Liver Clinic
Wednesday:
8:00AM 10:00AM Rounds
10:00AM 11:30AM Outpatient Procedures/Consults
12:00PM 1:00PM Medical Grand Rounds
1:00PM 6:00PM VA Liver Clinic
Thursday:
8:00AM 10:00AM Rounds
10:00AM 1:00PM Outpatient Procedures/Consults
1:00PM 3:00PM Post-transplant Hepatitis C Clinic (MAB)
3:00PM 6:00PM GI Conferences
Friday:
8:00AM 10:00AM Rounds
10:00AM 1:00PM Outpatient Procedures/Consults
1:00PM 6:00PM Consults
SCHEDULE NOTE:
**Time of rounds is dependent on attending (they may occur in the evening).

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.




University of Cincinnati College of Medicine | MedOneStop | Contact Us
Alerts | Clery and HEOA Notice | Notice of Non-Discrimination | eAccessibility Concern | Privacy Statement | Copyright Information
© 2024 University of Cincinnati