2023-2024 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 23 21
TITLE:
TRANSPLNT NEPHROLOGY UH -IM -ICE
This elective experience presents a general approach to the transplant patient to include pre-transplant assessment, post-transplant monitoring, the basis of the immune response, and use of immunosuppressive drugs.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Passed third year of medical school.
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:
Amit Govil, MD
govilat@ucmail.uc.edu
558-5471
MSB, 6213
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:
8:30 a.m. - 5:00 p.m., Monday - Friday
REPORT 1ST DAY:
Will receive 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--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:
80% Attending Physician
20% Senior Resident
FEEDBACK:
ASSESSMENT:
 Evaluation by Faculty

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

OBJECTIVES

Curricular Resources :
N/A
Instructional Methods:
  • Clinical Experience--Ambulatory
  • Clinical Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
1. Perform a detailed history and physical examination relevant to patient being assessed for kidney transplantation, and for patients having had a kidney transplant.

2. Interpret laboratory data used in the assessment of renal allograft function.

3. Demonstrate knowledge of basic immunological processes associated with acute and chronic rejection.

4. Demonstrate knowledge of indications, contraindications, limitations of various agents used as immunosuppressive agents in the renal transplant recipient.

5. Successfully manage a variety of fluid, electrolyte and nutritional problems commonly encountered with renal transplant patients.

6. Demonstrate knowledge of costs of the most common intervention/procedures used with transplant patients and how this will impact the decision making.

7. Demonstrate knowledge to prevent deterioration of allograft function by appropriate interventions such as blood pressure control, avoidance of nephrotoxic agents, prevention of immunosuppressive drug-related side effects.
Main Course Topics :
1. Transplantation - clinical aspects

2. Transplant immunology

3. Immunosuppressive agents
Procedures:
Participate in performance of transplant biopsy under supervision.
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
8:30AM 12:00PM Post Transplant Clinic, Hoxworth 3rd Fl
12:00PM 1:00PM Neph Monday Lecture Series (variable)
1:00PM 3:00PM Independent study
3:00PM 4:30PM Kidney/Pancreas selection meeting
Tuesday:
8:30AM 10:00AM Clinic
10:00AM 11:00AM Pre Donor Clinic, Hoxworth 3rd Fl
11:00AM 12:30PM Independent Study
12:30PM 1:30PM Nephrology Clinical Conference
1:30PM 3:30PM Pre Recipient Clinic, Hox 3rd Fl
4:00PM 5:00PM Transplant Grand Rounds
Wednesday:
8:00AM 9:00AM Nephrology Core Curriculum Series
9:00AM 11:00AM Inpatient Rounds
12:00PM 1:00PM Internal Medicine Grand Rounds
1:30PM 3:30PM Pre Recipient Clinic, Hox 3rd Fl
3:30PM 5:00PM Independent Study/Review Patients
Thursday:
8:30AM 12:30PM Inpatient consults
1:00PM 5:00PM Independent study
Friday:
8:30AM 12:00PM Post Transplant Clinic, Hoxworth 3rd Fl
12:00PM 1:00PM Transplant Lecture Series
1:00PM 2:00PM Independent study
2:00PM 3:00PM Pathology Review/Didactic Teaching
3:00PM 5:00PM Independent Study/Review Patients
SCHEDULE NOTE:
***2nd and 4th Monday of each month there is a clinical transplant meeting from 2 - 3 pm

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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