2023-2024 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 21 01
TITLE:
ARTHRITIS/ALLERGY -IM -ICE
This elective prepares students to perform primary care management, including diagnosis and treatment, of the common rheumatologic and allergic medical disorders.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Must be fourth 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 weeks
DIRECTOR:
John Houk
houkj@ucmail.uc.edu

ADMINISTRATIVE SUPPORT PERSON:
Mike Ruebusch
michael.ruebusch@uc.edu

SITE(S):
UCMC - University of Cincinnati Medical Center
VAMC
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 2
2 06/26/2023 - 07/21/2023 2
3 07/24/2023 - 08/18/2023 2
4 08/21/2023 - 09/15/2023 2
5 09/18/2023 - 10/13/2023 2
6 10/16/2023 - 11/10/2023 2
7 11/13/2023 - 12/08/2023 2
8 12/11/2023 - 01/05/2024 0
9 01/08/2024 - 02/02/2024 2
10 02/05/2024 - 03/01/2024 2
11 03/04/2024 - 03/29/2024 2
12 04/01/2024 - 04/26/2024 2

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 - 5:00 pm and as needed by patient response
REPORT 1ST DAY:
Will get email with detailed information prior to the elective

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--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:
90% Attending Physician
10% Fellow Physician
FEEDBACK:
Attending Physician/Fellow
ASSESSMENT:

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

OBJECTIVES

Curricular Resources :
  1. ARTHRITIS AND ALLIED CONDITIONS:  A TEXTBOOK OF RHEUMATOLOGY (TWO VOLUME SET).  Willaim Koopman and Larry Moreland (eds). 
  2. RHEUMATOLOGY 2 VOLUME SET.  Marc Hochberg, MD, Alan Silman, Josef Smolen, MD, Michael Weinblatt, MD, Michael Weisman, MD (eds).
  3. KELLEY'S TEXTBOOK OF RHEUMATOLOGY (2 VOLUME SET).  Edward Harris, Ralph Budd, Gary Firestein, Mark Genovese, John Sergent, Shaun Ruddy, Clement Sledge (eds).
Instructional Methods:
  • Clinical Experience - Inpatient
  • Clinical Experience - Outpatient  
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Patient Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
1. Manage individuals with rheumatic disorders in a primary care setting.
2. Understand the diagnostic techniques and therapeutic strategies that are available for the care of individuals with rheumatic diseases.
3. Critically evaluate which tests and techniques are necessary to diagnose and/or assess the activity of a rheumatic disease.
4. Determine benefit/risk ratios in selecting therapeutic interventions.
5. Recognize the indications for supplemental medical support.
6. Develop strategies for optimally effective interactions with other health care providers in patient management.
7. Perform a musculoskeletal examination.
8. Demonstrate familiarity with the following skills:

a. Differential diagnosis of acute arthritis.

b. Differential diagnosis of rheumatoid arthritis.

c. Management of rheumatoid arthritis

d. Laboratory tests in the rheumatic diseases

e. Synovial fluid analysis.

f. Joint aspiration technique.

g. Diagnosis and management for tendinitis and bursitis.

h. General principles of occupational and physical therapy.

i. Psychosocial aspects of chronic diseases

Main Course Topics :
1. Rheumatoid Arthritis
2. Osteoarthritis
3. Connective tissue disease (Systemic Lupus Erythematosus, Dermatomyositis, Scleroderma)
4. Spondyloarthropathies (Ankylosing Spondylitis, Reiter's disease, Psoriatic arthritis, Inflammatory Bowel disease)
5. Vasculitis
6. Crystal induced arthritis (Gout & "Pseudogout")
7. Infectious arthritis
8. Polymyalgia Rheumatica
9. Fibromyalgia
10. Extra articular rheumatism (tendinitis & bursitis)

Procedures:
  • Administer joint injections
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
1:00PM 5:00PM Consult Rounds
Tuesday:
11:00AM 12:00PM Rheumatology Didactics
1:00PM 4:30PM VA Rheumatology Clinic
Wednesday:
9:00AM 12:00PM Consult Rounds
12:30PM 4:30PM Hoxworth Arthritis Clinic
Thursday:
8:00AM 12:00PM Hoxworth Allergy Conference & Clinic
Friday:
11:00AM 12:00PM VA Rheumatology Didactics (Dr. Emejuaiwe)
1:00PM 2:00PM Rheumatology Conference
2:00PM 5:00PM Consult Rounds
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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