2023-2024 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 02 03
TITLE:
Community Hospital Medicine -IM -ICE
The student will partner with an attending physician(s) in the care of inpatients. The student will be directly involved in the evaluation, diagnostic work-up, procedures and treatment of complicated inpatients. Please note that the medical student workspace on this elective is located in the hospital library separate from the resident workroom.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP)

Complete all of third year of medical school; be a 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:
Greg Kennebeck, MD
Greg.Kennebeck@uc.edu
558-7581
MSB, 6603
ADMINISTRATIVE SUPPORT PERSON:
Mike Ruebusch
michael.ruebusch@uc.edu

SITE(S):
Jewish Hospital
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/29/2023 - 06/23/2023 0
2 06/26/2023 - 07/21/2023 0
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:
8:00-5:00 Mon-Fri with some possible shift work that will be variable
REPORT 1ST DAY:
Meet Jackie Tribble at 9:00 am at her office on the first day (GME office, 1st Floor of Jewish Hospital). Please enter the main entrance of the hospital on the 2nd floor. Someone at the information desk will direct you to the GME office.

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)
  • Journal Club
  • Patient Presentation--Faculty
  • Patient Presentation--Learner
  • 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:
100% Attending Physician
FEEDBACK:
ASSESSMENT:

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

OBJECTIVES

Curricular Resources :
  1. Harrisons textbook of medicine - https://accessmedicine.mhmedical.com/book.aspx?bookID=2129
  2. Up To Date - online clinical resource, available on all UH computers
  3. Online Library resources for UC COM students - https://guides.libraries.uc.edu/com

Instructional Methods:
  • Clinical Experience - Inpatient
  • Independent Learning
  • Patient Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
1.Coordination of care (inpatient to outpatient).

2.Clinical Information Management.

3.Communication skills.

4.Procedural skills.
Main Course Topics :
  1. Hospital Medicine Practicing Cost Effective Medicine
  2. Inpatient Medical Procedures Clinical Pharmacology
  3. Critical Care Medicine End of Life care
  4. Advance Directives Bioethics of care
  5. Biostatistics Nutritional Support

Clinical Topics:

1. Abdominal Pain

2. Acute Gastrointestinal Bleeding

3. Acute Pulmonary Edema

4. Acute Renal Failure

5. Altered Mental Status

6. Arrhythmias

7. Chest Pain

8. Drug Withdrawal

9. Electrolyte Disorders

10. Fever

11. Glycemic Control

12. Hypertensive Emergencies

13. Nausea and Vomiting

14. Pain Management

15. Respiratory Distress

16. Seizures

17. Shock
Procedures:
Perform venipuncture, IV insertion, nasogastric tube insertion, foley catheterization,arterial blood gas, bag and mask ventilation.

The student should also have ample opportunities to learn more advanced procedures such as lumbar puncture, paracentesis, thoracentesis, central venous catheterization though competency is not required and is based upon student interest.
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
7:00AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference
1:00PM 4:00PM Procedures, patient care, one on one didactics
Tuesday:
7:00AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference
1:00PM 4:00PM Inpatient Care
Wednesday:
7:00AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference
1:00PM 4:00PM Inpatient Care
Thursday:
7:00AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference
1:00PM 4:00PM Inpatient Care
Friday:
7:00AM 12:00PM Inpatient Care
12:00PM 1:00PM Noon Conference
1:00PM 4:00PM Inpatient Care
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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