2021-2022 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 01 01
TITLE:
ELECTIVE AI IN INTERNAL MEDICINE -IM -ICE
The student will function as the primary caregiver in the inpatient setting as part of a team of residents and faculty. The student will complete admission orders, history and physicals, diagnosis, follow-up care, patient cross cover, and discharge planning. There are ample opportunities to do procedures. The student will attend resident conferences with the medical team.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Successfully passed Clerkship in Internal Medicine.
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: NO
COURSE LENGTH:
4 wks
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):
Christ Hospital
Good Samaritan Hospital
Jewish Hospital
UCMC - Cardiology
UCMC - CVICU
UCMC - GI
UCMC - Hematology/Oncology
UCMC - MICU
UCMC - RENAL
UCMC - University of Cincinnati Medical Center
VAMC
MAX ENROLL:
3 
ROTATIONS:
Rotation Dates Max
1 06/01/2021 - 06/25/2021 3
2 06/28/2021 - 07/23/2021 3
3 07/26/2021 - 08/20/2021 3
4 08/23/2021 - 09/17/2021 3
5 09/20/2021 - 10/15/2021 3
6 10/18/2021 - 11/12/2021 3
7 11/15/2021 - 12/10/2021 3
8 01/10/2022 - 02/04/2022 3
9 02/07/2022 - 03/04/2022 3
10 03/07/2022 - 04/01/2022 3
11 04/04/2022 - 04/29/2022 3
12 05/02/2022 - 05/27/2022 3

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:
depends on call schedule; typically 7 days a week with required time off per team schedule
REPORT 1ST DAY:
You will receive an email with detailed information before the first day.

INSTRUCTION

LEARNING ACTIVITIES:
  • Case-Based Instruction/Learning
  • Clinical Experience - Inpatient
  • Clinical Experience - Inpatient (Nights)
  • Conference
  • Demonstration (description, performance, or explanation of a process, illustrated by examples, observable action, specimens, etc)
  • Patient Presentation--Learner
  • Research
  • 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:
50% Attending Physician
50% Senior Resident
FEEDBACK:
Senior Resident and attending
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 UH computers

Principles and Practices of Hospital Medicine.  McKean SC et al.  2nd Edition, 2016.

Lange Medicine "On Call"
Instructional Methods:
Case-Based Instruction/Learning

Clinical Experience - Inpatient

Discussion- Large Group (>12)

Discussion-Small Group (Small Group (=12)

Patient Presentation--Learner

Self-Directed Learning

Ward Rounds


Knowledge/Skills:
1.  Write admission orders
2.  Answer a nurse call
3.  Write a discharge summary
4.  Write a cross-cover note
5.  Give and receive patient hand offs (both in writing and verbally) to transition care responsibility
6.  Speak with specialist/subspecialist colleagues to request consultation
7.  Negotiate conflict with colleagues
8.  Deliver Bad News
9.  Discuss an adverse event with a patient
10. Obtain informed consent
11.  Obtain a DNR order
12.  Gain familiarity with obtaining advanced directives and documenting DNR
13.  Review the section below on pronouncing death and filling out a death certificate
Main Course Topics :
  Hospital Medicine                  Practicing Cost Effective Medicine
  Clinical Pharmacology            Critical Care Medicine
  End of Life care                     Advance Directives
  Bioethics of care                    Biostatistics
  Nutritional Support

  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:
N/A

SAMPLE WEEK

Monday:
6:00AM 8:00AM Prerounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
Tuesday:
6:00AM 8:00AM Prerounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
Wednesday:
6:00AM 8:00AM Prerounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Grand Rounds
1:00PM 5:00PM Patient Care
Thursday:
6:00AM 8:00AM Prerounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Patient Care
1:00PM 3:30PM Academic Half Day Interactive Sessions - Stetson Bldg. #2108
3:30PM 5:00PM Patient Care
Friday:
6:00AM 8:00AM Prerounds
8:00AM 11:00AM Attending Rounds
11:00AM 12:00PM Patient Care
12:00PM 1:00PM Noon Report
1:00PM 5:00PM Patient Care
SCHEDULE NOTE:

Saturday and Sunday hours are dependent on team call schedule.  An average of one day off per week (but can't take off a call day or post-call day). 

There will also be various site specific conferences throughout the month that will be noted on your individual schedule (M & M, AI conference, etc.).

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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