2020-2021 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 23 26
TITLE:
Community Nephrology - JH -ICE
This elective provides a basic experience in inpatient and some outpatient nephrology and hypertension through active participation with independence and supervision appropriate to the level of training, interest, and capabilities demonstrated. All facets of nephrology are encountered: acute and chronic renal failure, etc.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must be a 4th year student.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
8
CREDIT WEEKS:
4
DOMESTIC VISITING:
NO
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: NO
COURSE LENGTH:
4 wks
DIRECTOR:
Imran Naqvi
naqvimd@gmail.com
686-5474
Jewish Hospital
ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
Jewish Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 07/06/2020 - 07/31/2020 0
2 08/03/2020 - 08/28/2020 0
3 08/31/2020 - 09/25/2020 0
4 09/28/2020 - 10/23/2020 0
5 10/26/2020 - 11/20/2020 0
6 11/23/2020 - 12/18/2020 0
7 01/04/2021 - 01/29/2021 0
8 02/01/2021 - 02/26/2021 1
9 03/01/2021 - 03/26/2021 1
10 03/29/2021 - 04/23/2021 1
11 04/26/2021 - 05/21/2021 1
12 06/01/2021 - 06/25/2021 1

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:
Mon-Fri 8 – 5 pm
REPORT 1ST DAY:
Student will receive an email prior to the first day.

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

OBJECTIVES

Curricular Resources :
IM Essentials. Published by the American College of Physicians, 2015.
Hospital Medicine. Just the facts. McKean, Bennett, Halasyamani. McGraw, 2008.
Knowledge/Skills:
Knowledge/Skills The student should be able to:

Competently identify renal issues, especially renal emergencies (such as hyperkalemia, severe academia and intoxications requiring dialysis), fluid and electrolyte disorders, vasculitis, acute renal failure, glomerular disease, hypertension (primary and secondary), chronic renal insufficiency and end stage renal disease.

Accurately interpret laboratory data, including urinary sediments.

Apply basic knowledge of renal pathophysiology to the diagnostic and therapeutic process.

Formulate a broad differential diagnosis.

Acquire expeditiously relevant clinical literature to enhance direct patient care.
Main Course Topics :
1. Renal physiology
2. Urinalysis
3. Hematuria
4. Nutrition in renal disease
5. Hyponatremia and hypoosmolar states
6. Hypernatremia and hyperosmolar states
7. Volume depletion
8. Volume expansion/edema status
9. Metabolic acidosis
10. Metabolic alkalosis
11. Acute kidney injury
12. Chronic kidney diseases
13. Hypertension
14. Diabetic nephropathy
15. Urinary tract infections
16. Dialysis – hemo, peritoneal and continuous
17. Procedures (temporary vascular access and renal biopsy)
18. Modification of drug dose in renal failure
19. Prevention of renal disease
20. Cost effectiveness and risk-benefit ratios of various diagnostic and therapeutic options
21. Critical appraisal of literature
22. Ethical issues
23. End of life care issues
Procedures:
NA

SAMPLE WEEK

Monday:
8:00AM 12:00PM Consults
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Consults
Tuesday:
8:00AM 12:00PM Consults
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Consults
Wednesday:
8:00AM 12:00PM Consults
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Consults
Thursday:
8:00AM 12:00PM Consults
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Consults
Friday:
8:00AM 12:00PM Consults
12:00PM 1:00PM Noon Conference
1:00PM 5:00PM Consults
SCHEDULE NOTE:

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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