2024-2025 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 02 46
TITLE:
INPATIENT HOSPITALIST EXPERIENCE -IM -ICE
The student will partner with an attending physician in the care of inpatients. The student will be directly involved in the evaluation, diagnostic work-up, procedures and treatment of complicated inpatients.
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931472 (ACTING INTERNSHP-INT MEDICINE)

Passing grade on the Internal Medicine Acting Internship.
expand all

GENERAL INFORMATION

COURSE YEAR:
M4
CREDIT HOURS:
4
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:
Justin Held, MD
heldjn@ucmail.uc.edu
558-7608
ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu

SITE(S):
UCMC - Inpatient Wards
MAX ENROLL:
2 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/31/2024 0
2 06/03/2024 - 06/28/2024 2
3 07/01/2024 - 07/26/2024 2
4 07/29/2024 - 08/23/2024 2
5 08/26/2024 - 09/20/2024 2
6 09/23/2024 - 10/18/2024 2
7 10/21/2024 - 11/15/2024 2
8 11/18/2024 - 12/13/2024 2
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 02/07/2025 2
11 02/10/2025 - 03/07/2025 2
12 03/10/2025 - 04/04/2025 2
13 04/07/2025 - 05/02/2025 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:
7:00 a.m. - 4:00 p.m. M-F
REPORT 1ST DAY:
Will get an email prior to first day with instructions.

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)
  • Journal Club
  • 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:
100% Attending Physician
FEEDBACK:
ASSESSMENT:
 N/A

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

OBJECTIVES

Curricular Resources :
  1. Harrison's Principles of Internal Medicine - Available online through UC Library - Access Medicine
  2. UpToDate - online clinical resource, available on all UCMC computers
Instructional Methods:
  • Clinical Experience - Inpatient
  • Discussion-Small Group (Small Group (=12)
  • 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                   
  2. Practicing Cost Effective Medicine
  3. Inpatient Medical                     
  4. Procedures Clinical Pharmacology
  5. Critical Care Medicine            
  6. End of Life care
  7. Advance Directives                 
  8. Bioethics of care
  9. Biostatistics                             
  10. 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:
  1. Perform venipuncture, IV insertion, nasogastric tube insertion, Foley catheterization, arterial blood gas, bag and mask ventilation.
  2. 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 Rounds, multidisciplinary care team huddle
12:00PM 1:00PM IM Residency Noon Report (optional)
1:00PM 4:00PM Ongoing patient care, new admissions
Tuesday:
7:00AM 12:00PM Inpatient Rounds, multidisciplinary care team huddle
12:00PM 1:00PM IM Residency Noon Report (optional)
1:00PM 4:00PM Ongoing patient care, new admissions
Wednesday:
7:00AM 12:00PM Inpatient Rounds, multidisciplinary care team huddle
12:00PM 1:00PM IM Medical Grand Rounds (optional)
1:00PM 4:00PM Ongoing patient care, new admissions
Thursday:
7:00AM 1:00PM Inpatient Rounds, multidisciplinary care
1:00PM 4:00PM Ongoing patient care, new admissions
Friday:
7:00AM 12:00PM Inpatient Rounds, multidisciplinary care team huddle
12:00PM 1:00PM IM Residency Noon Report (optional)
1:00PM 4:00PM Ongoing patient care, new admissions
SCHEDULE NOTE:
*Internal Medicine Residency Academic Half Day is optional on Thursdays 1-3:30pm (will receive weekly email about sign up)

AI in Internal Medicine is a prerequisite.

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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