Internal Medicine
TITLE:
PULMONARY MEDICINE VAMC -IM -ICE
This inpatient and ambulatory pulmonary consult service elective provides experience in the comprehensive evaluation of pulmonary patients including history, physical examination, interpretation of laboratory data (chest x-rays, chest CT, PFT, lung scan, etc.), development of a complete differential diagnosis, and execution of diagnostic plans and management strategies. Students will be involved with inpatient consults, ambulatory pulmonary clinics and e-consults.
PREREQUISITES:
26920371 (FAMILY MEDICINE CORE CLKSP), 26920371 (FAMILY MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP), 26980373 (SURGERY CORE CLKSP), 26980373 (SURGERY CORE CLKSP)
Successfully complete the Internal Medicine Core Clerkship.
expand all
GENERAL INFORMATION
INTERNATIONAL VISITING:
NO
GRADED:
Honors/High Pass/Pass/Fail
COURSE QUALIFICATIONS:
ICE
STATUS:
Full-Time
OFFERED AS FULL-TIME AND PART-TIME:
NO
ALLOWS OVERLAP:
NO
DIRECTOR:
Dennis McGraw, MD
Dennis.McGraw@va.gov
513-558-0489
MSB, 6053
Nishant Gupta, MD
guptans@ucmail.uc.edu
5135584831
ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu
513-558-2592
MSB, 6055A
ROTATIONS:
Rotation |
Dates |
Max |
1 |
05/06/2024 - 05/31/2024 |
1 |
2 |
06/03/2024 - 06/28/2024 |
1 |
3 |
07/01/2024 - 07/26/2024 |
1 |
4 |
07/29/2024 - 08/23/2024 |
1 |
5 |
08/26/2024 - 09/20/2024 |
1 |
6 |
09/23/2024 - 10/18/2024 |
1 |
7 |
10/21/2024 - 11/15/2024 |
1 |
8 |
11/18/2024 - 12/13/2024 |
1 |
9 |
12/16/2024 - 01/10/2025 |
0 |
10 |
01/13/2025 - 02/07/2025 |
1 |
11 |
02/10/2025 - 03/07/2025 |
1 |
12 |
03/10/2025 - 04/04/2025 |
1 |
13 |
04/07/2025 - 05/02/2025 |
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:
M-F, 8:00 am - 5:00 pm
REPORT 1ST DAY:
VAMC B-601 at 9:00 a.m.
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:
60% |
Attending Physician |
40% |
Fellow Physician |
ASSESSMENT:
Evaluation by Faculty
ASSESSMENT METHODS:
Clinical Performance Rating/Checklist
Narrative Assessment
FINAL GRADE:
GRADE ASSIGNED BY:
Course director
OBJECTIVES
Curricular Resources :
Reference Texts:
1. Murray, Nadel - Textbook of Respiratory Medicine
2. West - Respiratory Physiology
3. Fishman - Pulmonary Disease and Disorders
Instructional Methods:
- Clinical Experience--Ambulatory
- Clinical Experience - Inpatient
- Discussion-Small Group (Small Group (=12)
- Independent Learning
- Patient Presentation--Learner
- Self-Directed Learning
- Ward Rounds
Knowledge/Skills:
1) Perform a thorough history and physical exam related to the respiratory system,
2) Interpret chest x-rays and arterial blood gases and pulmonary function tests, etc.
3) Develop a comprehensive differential diagnosis and preliminary plan of evaluation for patients with pulmonary disease.
4) Develop skills in critically evaluating the medical literature and practicing evidence based medicine.
5) Explain the clinical and physiologic aspects of chronic lung diseases, ethical and cost analysis issues in the decision making process in pulmonary patients, and preventive measures.
6) Do computer-based literature search for submission to the team members and for presentation.
7) Describe common drugs used in pulmonary medicine, their indication, side effects and other important pharmacologic considerations.
Main Course Topics :
- Dyspnea
- Pneumoconiosis
- Pneumonias
- Asthma
- Fungal Disease
- Interstitial Lung Disease
- Hemoptysis
- Sleep Medicine
- Sarcoidosis & Other Granulomatous
- Lung Cancer
- COPD
- Tuberculosis
Procedures:
1) Observe and help in various techniques of evaluation of pulmonary patients. These include: bronchoscopy, thoracentesis, pleural biopsy, chest tube placement, and pulmonary function tests.
Remediation Plan:
Self-directed or faculty-directed assignments
SAMPLE WEEK
Monday:
8:00AM |
12:00PM |
Patient evaluation and follow-up, presentation and discussion |
12:00PM |
1:00PM |
Pulmonary Conference 7127-E UC |
1:30PM |
3:30PM |
Pulmonary Consult rounds with the Faculty |
3:30PM |
5:00PM |
PFT interpretation |
Tuesday:
7:30AM |
8:30AM |
VA Thoracic Tumor Board |
9:00AM |
12:00PM |
Patient evaluation and follow-up, presentation and discussion |
12:00PM |
1:00PM |
Pulmonary/Radiology/Pathology Conference - Radiology Conf. Room |
1:30PM |
3:30PM |
Pulmonary Consult rounds with the Faculty |
3:30PM |
5:00PM |
PFT interpretation |
Wednesday:
8:00AM |
12:00PM |
Bronchoscopy observation |
12:00PM |
1:00PM |
Medical Grand rounds |
1:30PM |
3:00PM |
Pulmonary/Critical Care Lecture Series 7127-E UC |
3:00PM |
5:00PM |
Patient evaluation and follow up, PFT interpretation |
Thursday:
8:00AM |
12:00PM |
Bronchoscopy observation |
1:00PM |
5:00PM |
Outpatient chest clinic |
Friday:
8:30AM |
12:00PM |
Outpatient chest clinic |
1:30PM |
3:30PM |
Pulmonary Consult rounds with the Faculty |
3:30PM |
5:00PM |
PFT interpretation |
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.