2020-2021 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 02 65
TITLE:
Working on the Night Moves (Nocturnal Medicine) -IM -ICE
The student will work with directly with Internal Medicine hospitalist faculty to admit patients and do cross-cover on inpatients at UCMC-Ridgeway location (Burnett Avenue). The student will be involved with and observe the admission process both from the emergency setting and transfers from UCMC and outside hospitals. The student with progressive responsibility during the month will evaluate lower acuity cross-cover calls. Working with the interdisciplinary team, particularly nursing professionals will be a key learning process in patient care after hours.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must have passed the AI in Internal Medicine
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
CREDIT WEEKS:
2
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:
2 weeks
DIRECTOR:
Leann Coberly, MD
leann.coberly@uc.edu
558-5295
MSB, 6055
ADMINISTRATIVE SUPPORT PERSON:
Jessica Bailey
baileyj7@uc.edu
558-2592
MSB, 6055
SITE(S):
UCMC
UCMC - Ridgeway
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
2 08/03/2020 - 08/14/2020 1
2 08/17/2020 - 08/28/2020 1
3 08/31/2020 - 09/11/2020 1
3 09/14/2020 - 09/25/2020 1
4 09/28/2020 - 10/09/2020 1
4 10/12/2020 - 10/23/2020 1
5 10/26/2020 - 11/06/2020 1
5 11/09/2020 - 11/20/2020 1
6 11/23/2020 - 12/04/2020 1
6 12/07/2020 - 12/18/2020 1
7 01/04/2021 - 01/15/2021 1
7 01/18/2021 - 01/29/2021 1
8 02/01/2021 - 02/12/2021 0
8 02/15/2021 - 02/26/2021 0
9 03/01/2021 - 03/12/2021 0
9 03/15/2021 - 03/26/2021 0
10 03/29/2021 - 04/09/2021 0
10 04/12/2021 - 04/23/2021 0
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:
7:30 pm - 7:30 am Tuesday through Friday only
REPORT 1ST DAY:
Page attending for where/when to meet on first day (will be emailed to you prior to the first day)

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
  • Ward Rounds
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:
98% Attending Physician
2% Other Allied Health Professional(s)
FEEDBACK:
Faculty
ASSESSMENT:
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
Harrisons textbook of medicine http://harrisons.accessmedicine.com/
Up To Date - online clinical resource, available on all UCMC computers
Knowledge/Skills:
Content Goals and Objectives

1.      Assess hyperglycemia

2.       Assess elevated blood pressure  

3.       Diagnose the cause of loss of consciousness and differentiate syncope from other etiologies.  

4.       Initiate appropriate antibiotic(s) for pneumonia  

5.       Initiate appropriate antibiotic(s) for skin and soft tissue infections  

6.       Assess exacerbations of obstructive lung disease  

7.       Assess alcohol withdrawal  

8.       Approach derangements of electrolytes  

9.       Recognize delirium and identify potential causes  

10.   Assess a patient with fever  

11.   Assess a patient with pain complaints

12.   Document cross-cover care  



Process-Based Goals and Objectives

1.       Acquire accurate and relevant history  

2.       Perform an accurate physical exam  

3.       Develop prioritized differential diagnoses  

4.       Develop an evidence-based diagnostic and therapeutic plan  

5.       Demonstrate accurate medication reconciliation  

6.       Provide accurate, complete, and timely documentation  

7.       Identify the appropriate clinical question for consultative services  

8.       Identify clinical questions as they emerge in patient care activities and access medical information resources  

9.       Perform bedside presentations that engage the patient and focus the discussion around the patient’s central concerns  

10.   Minimize unfamiliar terms during patient encounters  

11.   Demonstrate shared decision-making with the patient  

12.   Use teach-back method with patients regarding medications and plan  

13.   Communicate with primary care physicians  

14.   Recognize the scope of his/her abilities and ask for supervision and assistance appropriately  

15.   Minimize unnecessary care including tests
Main Course Topics :
Hospital Medicine
Clinical Pharmacology
End of Life Care
Bioethics of care
Nutritional Support
Practicing Cost Effective Medicine
Critical Care Medicine
Nocturnal Medicine
Advance Directives

Clinical Topics:
1. Cardiovascular Medicine
2. Endocrinology and Metabolism
3. Gastroenterology and Hepatology
4. General Internal Medicine
5. Hematology
6. Infectious Disease Medicine
7. Nephrology
8. Neurology
9. Oncology
10. Pulmonary Medicine
11. Rheumatology
Procedures:
None required.

SAMPLE WEEK

SCHEDULE NOTE:
The hours for this elective is are:  Tuesday, Wednesday, Thursday, and Friday 7:30 pm - 7:30 am.

Remember the AI in IM is a prerequisite to taking this elective.

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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