2023-2024 M3/M4 Course Syllabi
Family & Community Medicine
COURSE NUMBER:
06 01 02
TITLE:
ELECTIVE ACT INTERN FAMILY MEDICINE -ICE
The student will be an active team member of the Family Medicine inpatient service which cares for over 200 patients per month. Students will participate in general medicine inpatient care and consultations. Our AI rotation sites are sent the Family Medicine Acting Internship schedule in advance of the academic year and work to balance their clinical teams such that our AIs have a robust clinical experience. We consider enrollment in the Family Medicine AI a commitment to be part of the clinical team. We highly recommend that students who need to drop the Family Medicine Acting Internship do so prior to the start of the academic year. Requests to drop the Family Medicine AI during the academic year will require approval by the AI Course Director and the AI Clinical Site Director.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26940373 (NEUROSCIENCE CORE CLKSP), 26946374 (OBSTETRICS/GYN CORE CLKSP), 26961373 (PEDIATRICS CORE CLKSP), 26963371 (PSYCHIATRY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)

Students may take this course in place of one required IM selective or as an ICE.

Our AI rotation sites are sent the Family Medicine Acting Internship schedule in advance of the academic year and work to balance their clinical teams such that our AIs have a robust clinical experience. We consider enrollment in the Family Medicine AI a commitment to be part of the clinical team.  We highly recommend that students who need to drop the Family Medicine Acting Internship do so prior to the start of the academic year. Requests to drop the Family Medicine AI during the academic year will require approval by the AI Course Director and the AI Clinical Site Director.

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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:
Anisasattara Shomo, MD
shomoaa@ucmail.uc.edu
(216) 533-4683
MSB, 4309
ADMINISTRATIVE SUPPORT PERSON:
Nancy Jamison
Nancy.Jamison@uc.edu
513-558-1435
MSB, 4304
SITE(S):
Bethesda North Hospital
Christ Hospital
St. Elizabeth Hospital-Edgewood
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 1
2 06/26/2023 - 07/21/2023 0
3 07/24/2023 - 08/18/2023 1
4 08/21/2023 - 09/15/2023 0
5 09/18/2023 - 10/13/2023 0
6 10/16/2023 - 11/10/2023 0
7 11/13/2023 - 12/08/2023 0
8 12/11/2023 - 01/05/2024 0
9 01/08/2024 - 02/02/2024 0
10 02/05/2024 - 03/01/2024 0
11 03/04/2024 - 03/29/2024 0
12 04/01/2024 - 04/26/2024 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:
6 am - 5 pm Monday - Friday, may also have call and night float resposibilities
REPORT 1ST DAY:
You will receive an email with detailed information prior to the elective.

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--Faculty
  • 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
40% Senior Resident
10% Other Allied Health Professional(s)
FEEDBACK:
ASSESSMENT:
Institutionally developed evaluation.

ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
FINAL GRADE:
GRADE ASSIGNED BY: Course director

OBJECTIVES

Curricular Resources :
 Recommended text:
     Harrison's Textbook of Medicine
 Other resources available to student:

   
     Cecil's Textbook of Medicine. Wyngarden, Smith, Bennett
     Intensive Care Medicine. Rippe, Irwin, Fink, Cerra
     Emergency Medicine, Concepts and Clinical Practice. Rosen, Barkin
     Textbook of Family Practice. Rakel
     A Medical Library including journals is available on site.
Instructional Methods:
Preceptorship; Clinical Experience- Inpatient
Knowledge/Skills:

   1. Evaluate inpatient adults upon admission to hospital.
   2. Complete a full history and physical exam
   3. Develop a problem list and differential diagnosis
   4. Write admission orders
   5. Follow daily progress, daily notes
   6. Review literature on patient problems
   7. Use specialist referrals and communicate with colleagues
   8. For each patient, address issues of risk vs. benefit, prevention, nutrition, ethics, pharmacology and interface between inpatient/outpatient care.
Main Course Topics :
  Inpatient Family Medicine
  Hospitalized patients
  Primary care
  General medicine
  Critical care
Procedures:
Perform procedures on their patients as the opportunities arise. 
Procedures may include:  central lines, thoracentesis, paracentesis, arterial lines/intubation, peripheral IVs, EKG interpretation, code management, ventilator management.
Remediation Plan:
Will be determined on case by case basis.

SAMPLE WEEK

Monday:
7:00AM 8:00AM Work Rounds
8:00AM 10:30AM Attending Rounds - includes x-ray rounds and bedside teaching
10:30AM 12:00PM Inpatient Care
12:00PM 1:00PM Lunch
1:00PM 5:00PM Inpatient Care
Tuesday:
7:00AM 8:00AM Work Rounds
8:00AM 10:30AM Attending Rounds - includes x-ray rounds and bedside teaching
10:30AM 12:00PM Inpatient Care
12:00PM 1:00PM Lunch
1:00PM 5:00PM Outpatient Clinic available if desired
Wednesday:
7:00AM 8:00AM Work Rounds
8:00AM 10:30AM Attending Rounds - includes x-ray rounds and bedside teaching
10:30AM 12:00PM Inpatient Care
12:00PM 1:00PM Lunch
1:00PM 5:00PM Inpatient Care
Thursday:
7:00AM 8:00AM Work Rounds
8:00AM 10:30AM Attending Rounds - includes x-ray rounds and bedside teaching
10:30AM 12:00PM Inpatient Care
12:00PM 1:00PM Lunch
1:00PM 5:00PM Conference Series (includes 1 Journal Club per month)
Friday:
7:00AM 8:00AM Work Rounds
8:00AM 10:30AM Attending Rounds - includes x-ray rounds and bedside teaching
10:30AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference and Lunch
1:00PM 5:00PM Outpatient Clinic available if desired
SCHEDULE NOTE:

Saturday and Sunday:  Inpatient Rounds, off 1 full weekend each month; 1 additional Sat. and Sun. or different weekends during the month.

One week of Nights to be scheduled. 

The Family Medicine inpatient team is headed by a teaching attending.  A resident team leader oversees the day to day functioning of the team.  The Acting Intern is paired with either a second or third year Family Medicine resident and functions as a Family Medicine intern.  

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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