2024-2025 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 27 06
TITLE:
CLINICAL PULMONARY MED UH -IM -ICE
Students participate in inpatient and outpatient pulmonary consultation and evaluation and participate in pulmonary procedures including thoracentesis, pleural biopsy, bronchoscopy, pulmonary function, exercise testing. The student will be responsible for seeing new consults, following up on prior consults, and presenting these patients to the fellow and attending during rounds.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP)

Successfully complete Internal Medicine Core Clerkship
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:
2 or 4 wks
DIRECTOR:
Peter Lenz, MD
Peter.lenz@uc.edu
558-0588
MSB, 6166
ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu
513-558-2592
MSB, 6055A
SITE(S):
UCMC
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/17/2024 2
1 05/06/2024 - 05/31/2024 2
1 05/20/2024 - 05/31/2024 2
2 06/03/2024 - 06/14/2024 2
2 06/03/2024 - 06/28/2024 2
2 06/17/2024 - 06/28/2024 2
3 07/01/2024 - 07/12/2024 2
3 07/01/2024 - 07/26/2024 2
3 07/15/2024 - 07/26/2024 2
4 07/29/2024 - 08/09/2024 2
4 07/29/2024 - 08/23/2024 2
4 08/12/2024 - 08/23/2024 2
5 08/26/2024 - 09/06/2024 2
5 08/26/2024 - 09/20/2024 2
5 09/09/2024 - 09/20/2024 2
6 09/23/2024 - 10/04/2024 2
6 09/23/2024 - 10/18/2024 2
6 10/07/2024 - 10/18/2024 2
7 10/21/2024 - 11/01/2024 2
7 10/21/2024 - 11/15/2024 2
7 11/04/2024 - 11/15/2024 2
8 11/18/2024 - 12/13/2024 2
8 12/02/2024 - 12/13/2024 2
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 01/24/2025 2
10 01/13/2025 - 02/07/2025 2
10 01/27/2025 - 02/07/2025 2
11 02/10/2025 - 02/21/2025 2
11 02/10/2025 - 03/07/2025 2
11 02/24/2025 - 03/07/2025 2
12 03/10/2025 - 03/21/2025 2
12 03/10/2025 - 04/04/2025 2
12 03/24/2025 - 04/04/2025 2
13 04/07/2025 - 04/18/2025 1
13 04/07/2025 - 05/02/2025 1
13 04/21/2025 - 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:
8:00 am - 5:00 pm, Monday - Friday
REPORT 1ST DAY:
Please report to the Pulmonary Fellows Office (MSB 6263) on your first day. Contact Annie Daniels (olsiesam@ucmail.uc.edu) the Friday before your rotation starts to be put in contact with the consult fellow for your week.

INSTRUCTION

LEARNING ACTIVITIES:
  • Clinical Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning (Instructor-guided learning activities to be performed by the learner outside of formal educational settings.)
  • Patient Presentation--Learner
  • Self-Directed Learning (Learners take initiative for their own learning; diagnosing needs; formulating goals; identifying resources; implementing appropriate activities; and evaluating outcomes.)
  • 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:
70% Attending Physician
30% Fellow Physician
FEEDBACK:
ASSESSMENT:
N/A

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

OBJECTIVES

Curricular Resources :
  1. Murray & Nadel's Textbook of Respiratory Medicine 7th ed., 2021
  2. West's Respiratory Physiology: The essentials, 11th ed., 2020
  3. Students, fellows, and faculty will be responsible for researching and obtaining articles on various pulmonary topics throughout the rotation.
Instructional Methods:
  • Clinical Experience - Inpatient
  • Clinical Experience - Ambulatory
  • Discussion-Small Group (Small Group (=12)
  • Independent Learning
  • Patient Presentation--Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
1) Take a history and complete a physical examination in pulmonary medicine.

2) Work up common pulmonary problems and diseases:
  • Cough
  • Hemoptysis
  • Dyspnea
  • Pulmonary disability evaluation
  • Asthma
  • Tuberculosis
  • Emphysema
  • Bronchitis
  • Pneumonias
  • Fungal Diseases
  • Lung Cancers
  • Interstitial Lung Diseases
  • Sarcoidosis and other granulomatous diseases
  • Opportunistic pulmonary infections
  • Pneumoconioses
  • Cystic Fibrosis

3) Interpret blood gas results, simple and routine pulmonary function tests.
4) Read and interpret routine chest roentgenograms.
5) Review and discuss cost-efficient evaluations and decision-making, risk/benefit issues in above pulmonary problems.
6) Discuss ways of prevention of lung disease.
Main Course Topics :
  • Cough
  • Hemoptysis
  • Dyspnea
  • Pulmonary disability evaluation
  • Asthma
  • Tuberculosis
  • Emphysema
  • Bronchitis
  • Pneumonias
  • Fungal Diseases
  • Lung Cancers
  • Interstitial Lung Diseases
  • Sarcoidosis and other granulomatous diseases
  • Opportunistic pulmonary infections
  • Pneumoconioses
  • Cystic Fibrosis
  • Bronchoscopy
  • Thoracocentesis
Procedures:
Observe and know indications/contraindications in invasive techniques of working up pulmonary problems such as bronchoscopy, needle biopsy of the lung, pleural biopsy, thoracentesis.
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
8:00AM 12:00PM Consult Rounds
12:00PM 1:00PM Didactics (Lunch included for in-person didactics)
1:00PM 5:00PM Consult Rounds
Tuesday:
8:00AM 12:00PM Consult Rounds
12:00PM 1:00PM Didactics (Lunch included for in-person didactics)
1:00PM 5:00PM Consult Rounds
Wednesday:
8:00AM 12:00PM Consult Rounds
12:00PM 1:00PM IM Medical Grand Rounds (optional)
1:00PM 2:00PM Didactics (Lunch included for in-person didactics)
2:00PM 5:00PM Consult Rounds
Thursday:
8:00AM 11:30AM Consult Rounds
11:30AM 12:30PM Didactics (Lunch included for in-person
12:30PM 5:00PM Consult Rounds
Friday:
8:00AM 12:00PM Consult Rounds
12:00PM 1:00PM Didactics (Lunch included for in-person didactics)
1:00PM 5:00PM Consult Rounds
SCHEDULE NOTE:
  • The consult team generally will table round in the morning, see patients throughout the day and staff the later-breaking consults in the afternoons.
  • The consult team is often asked to do procedures (thoracentesis and bronchoscopy) which are scheduled based on availability, and may be extra learning opportunities earlier or later in the day
  • The consult fellow will have clinic on either Tuesday or Thursday afternoons. This often results in extra one-on-one learning opportunities with the attending.


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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