2020-2021 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 09 21
TITLE:
GASTRO PRIV PRAC TCH
The student will accompany and assist Dr. Kreines in his daily rounds that include outpatient and inpatient consultation, covering a wide variety of digestive disorders, liver disease, and endoscopy. This elective is only offered for 2 weeks.
PREREQUISITES:
Successful completion of Year 3.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
2
DOMESTIC VISITING:
NO
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
COURSE TYPE:
Clinical
STATUS:
Full-Time   
OFFERED AS FULL-TIME AND PART-TIME: NO
ALLOWS OVERLAP: YES
COURSE LENGTH:
2 wks only
DIRECTOR:
Michael Kreines, MD
mkreines@ohiogi.com
569-1311
2925 Vernon Place, Suite 100 Cincinnati, OH 45219
ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
Private Physician
MAX ENROLL:
2  MAX/YR: 18
ROTATIONS:
Rotation Dates Max
2 08/03/2020 - 08/14/2020 0
2 08/17/2020 - 08/28/2020 0
3 08/31/2020 - 09/11/2020 0
3 09/14/2020 - 09/25/2020 0
4 09/28/2020 - 10/09/2020 0
4 10/12/2020 - 10/23/2020 0
5 10/26/2020 - 11/06/2020 0
5 11/09/2020 - 11/20/2020 0
6 11/23/2020 - 12/04/2020 0
6 12/07/2020 - 12/18/2020 0
7 01/04/2021 - 01/15/2021 0
7 01/18/2021 - 01/29/2021 0
9 03/01/2021 - 03/12/2021 1
9 03/15/2021 - 03/26/2021 1
10 03/29/2021 - 04/09/2021 1
10 04/12/2021 - 04/23/2021 1
11 04/26/2021 - 05/07/2021 0
11 05/10/2021 - 05/21/2021 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 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Call 569-1311 before 1st day verify time/location

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.
TEACHING:
100% Attending Physician
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
   Selected topics from among the following:

   Gastrointestinal Diseases - Sleisenger and Fordtran

   General Medical Text Book - example Harrison.

   Use of review articles and book chapters which cover main course topics (see Question 23) and more.

   Specific literature searches where appropriate using Access.
Knowledge/Skills:
   1. Perform a digestive disease specific consultation.
   2. Generate a differential diagnosis.
   3. Identify appropriate management strategies.
   4. Identify indications for GI procedures.
   5. Demonstrate the ability to present an appropriate risk/benefit analysis for procedures.
   6. Present an overall understanding of the continuity of care from inpatient to outpatient.
   7. Suggest appropriate pharmaceutical prescribing considerations.
   8. Relate an understanding of the cost of gastroenterology procedures, drugs, office practice visits for the patient, and the operational cost of running an office for the physician.
   9. Discuss an understanding of public health and preventive recommendations as they pertain to colon cancer.
  10. Perform a nutritional history.
  11. Identify indications for nutritional and dietary consultation.
  12. Address end of life issues and the ethical ramifications as they relate to use of feeding tubes.
  13. Perform a critical review of the literature as part of the topic presentation.
Main Course Topics :
IBD

IBS

PVD

GERD

Colon Cancer

Liver Diseases

Pancreatic Disorders
Procedures:
  1. Recognize when GI procedure is indicated and choose the optimal exam.
   2. Observe GI procedures.

SAMPLE WEEK

Monday:
8:00AM 9:30AM Inpatient/Outpatient Procedures
9:30AM 12:00PM Inpatient Rounds - Inpatient Consultation
12:00PM 1:00PM TCH Noon Conference (optional)*
1:00PM 5:00PM Designed Reading Time
Tuesday:
8:00AM 9:30AM Inpatient/Outpatient Procedures
9:30AM 12:00PM Inpatient Rounds - Inpatient Consultation
12:00PM 1:00PM TCH Noon Conference (optional)*
1:00PM 5:00PM Outpatient Office*
Wednesday:
8:00AM 9:30AM Inpatient/Outpatient Procedures
9:30AM 12:00PM Inpatient Rounds - Inpatient Consultation
12:00PM 1:00PM TCH Noon Conference (optional)*
1:00PM 5:00PM Outpatient Office*
Thursday:
8:00AM 9:00AM Grand Rounds
9:00AM 9:30AM Inpatient/Outpatient Procedures
9:30AM 12:00PM Inpatient Rounds - Inpatient Consultation
12:00PM 1:00PM Lunch
1:00PM 3:00PM Outpatient Office
3:00PM 5:00PM UC Digestive Disease Conferences/Journal Club
Friday:
8:00AM 9:30AM Inpatient/Outpatient Procedures
9:30AM 12:00PM Inpatient Rounds - Inpatient Consultation
12:00PM 1:00PM TCH Noon Conference (optional)*
1:00PM 5:00PM Outpatient Office*
SCHEDULE NOTE:

 * Student will give a weekly presentation at varying times scheduled once per week.

** Student will be expected to attend those TCH noon conferences specifically on GI.

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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