2023-2024 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 09 01
TITLE:
CLINICAL GASTROENTEROLOGY UH -IM -ICE
In this inpatient elective, the student learns to care for patients with gastrointestinal disorders through performance of inpatient consultations and observation of various endoscopic procedures. Attendance of weekly GI conferences is also expected. This elective offers an experience on a busy gastroenterology consult service and also provides an opportunity to observe procedures done on the patients seen in consult as well as other gastroenterology procedures on patients presenting to the UCMC endoscopy unit.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Successfully passed third year.
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 weeks
DIRECTOR:
Donald Schoch, MD
Donald.Schoch@uc.edu
558-5588
MSB, 6467
ADMINISTRATIVE SUPPORT PERSON:
Mike Ruebusch
michael.ruebusch@uc.edu

SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 1
2 06/26/2023 - 07/21/2023 1
3 07/24/2023 - 08/18/2023 1
4 08/21/2023 - 09/15/2023 1
5 09/18/2023 - 10/13/2023 1
6 10/16/2023 - 11/10/2023 1
7 11/13/2023 - 12/08/2023 1
8 12/11/2023 - 01/05/2024 0
9 01/08/2024 - 02/02/2024 1
10 02/05/2024 - 03/01/2024 1
11 03/04/2024 - 03/29/2024 1
12 04/01/2024 - 04/26/2024 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:
8:00 am - 6:00 pm
REPORT 1ST DAY:
Report to the UCMC Diagnostic Center (2nd Floor UCMC) at 8:00 am at the Diagnostic Center. Ask for UCMC Gastro consults fellow.

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
  • 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:
30% Attending Physician
20% Other Faculty
10% Conference/lectures
40% Fellow Physician
FEEDBACK:
Fellow or Attending
ASSESSMENT:

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

OBJECTIVES

Curricular Resources :
1. Feldman M, Friedman LS, Brandt JL.  Sleisenger & Fordtran's Gastrointestinal and Liver Disease:  Pathophysiology, Diagnosis, Management, 10th ed. Saunders, 2015.
2. Yamada T et al: Textbook of Gastroenterology.  6th edition.  Lippincott Williams and Wilkins, 2015.
3. Cotton PB and Williams C, eds. Practical Gastrointestinal Endoscopy:  The Fundamentals, 7th ed., Blackwell Publishing, 2014.
Instructional Methods:
  • Clinical Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Patient Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:

  1. Obtain a working knowledge of the major gastrointestinal diseases.
  2. Succinctly evaluate, synthesize, and briefly present the essence of the patient's illness.
  3. Development of diagnostic and treatment plans for patients with gastrointestinal diseases.
  4. Interpretation of gastrointestinal x-rays, histology, and laboratory tests.
  5. Cost effective use of diagnostic tests and therapies in gastroenterology.
  6. Develop an understanding of the appropriate indications for consultation of a gastroenterologist.
  7. Critically review the literature to facilitate effective recommendations for patient care and management.
Main Course Topics :
  •   Gastroesophageal reflux disease and Barrett's esophagus
  •   Dysphagia and odynophagia
  •   Esophageal tumors
  •   Acid-peptic disorders and H. pylori
  •   Gastric polyps and tumors
  •   Disorders of gastrointestinal motility
  •   Diarrheal diseases and malabsorption
  •   Inflammatory bowel diseases (ulcerative colitis and Crohn's disease)
  •   Gastrointestinal hemorrhage
  •   Gastrointestinal infections
  •   Gastrointestinal complications of AIDS
  •   Pancreatitis (acute and chronic)
  •   Pancreatic neoplasms
  •   Nutritional assessment and management
  •   Colon polyps, cancer and screening
  •   Gallstone disease
  •   Diseases of the biliary tract
  •   Abdominal pain
  •   Nausea and vomiting
  •   Ethical issues in gastroenterology
Procedures:
None.
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
8:00AM 6:00PM Inpatient consults and procedures
Tuesday:
8:00AM 6:00PM Inpatient consults and procedures
Wednesday:
8:00AM 6:00PM Inpatient consults and procedures
Thursday:
8:00AM 3:00PM Inpatient consults and procedures
3:00PM 5:30PM GI Weekly Conference
Friday:
8:00AM 6:00PM Inpatient consults and procedures
SCHEDULE NOTE:
**Please note that the time of rounds may vary (some may be in the evening).  The times are up to the attending's discretion.

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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