2024-2025 M3/M4 Course Syllabi
Internal Medicine
COURSE NUMBER:
07 02 51
TITLE:
Consultative Internal Medicine -IM -ICE
The student will be an integral member of the General Internal Medicine inpatient consult service at UCMC. The student will have the opportunity to evaluate patients on non-medical services who require Internal Medicine expertise with an emphasis on care of patients admitted to surgical services and perioperative care. Students will have experience in managing patients with chronic diseases such as COPD, asthma, diabetes, chronic kidney disease, heart failure, CAD as part of an interdisciplinary team of physicians. The consult team runs the codes and rapid response team for UCMC, so review of AHA ACLS application is recommended (cost online: $3.00).
PREREQUISITES:
26931373 (INTERNAL MEDICINE CORE CLKSP), 26931373 (INTERNAL MEDICINE CORE CLKSP)

  • Must have passed the Internal Medicine clerkship.
  • Given the frequent changes of the faculty who rotate with the resident teams on this rotation, this is NOT a good rotation to obtain an letter of recommendation.
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 weeks
DIRECTOR:
Leann Coberly, MD
leann.coberly@uc.edu
558-5295
MSB, 6055
ADMINISTRATIVE SUPPORT PERSON:
Gabriela Ionascu
ionascgi@ucmail.uc.edu
513-558-2592
MSB, 6055A
SITE(S):
UCMC - University of Cincinnati Medical Center
MAX ENROLL:
1 
ROTATIONS:
Rotation Dates Max
1 05/06/2024 - 05/17/2024 1
1 05/06/2024 - 05/31/2024 1
1 05/20/2024 - 05/31/2024 1
2 06/03/2024 - 06/14/2024 1
2 06/03/2024 - 06/28/2024 1
2 06/17/2024 - 06/28/2024 1
3 07/01/2024 - 07/12/2024 1
3 07/01/2024 - 07/26/2024 1
3 07/15/2024 - 07/26/2024 1
4 07/29/2024 - 08/09/2024 1
4 07/29/2024 - 08/23/2024 1
4 08/12/2024 - 08/23/2024 1
5 08/26/2024 - 09/06/2024 1
5 08/26/2024 - 09/20/2024 1
5 09/09/2024 - 09/20/2024 1
6 09/23/2024 - 10/04/2024 1
6 09/23/2024 - 10/18/2024 1
6 10/07/2024 - 10/18/2024 1
7 10/21/2024 - 11/01/2024 1
7 10/21/2024 - 11/15/2024 1
7 11/04/2024 - 11/15/2024 1
8 11/18/2024 - 12/13/2024 1
8 12/02/2024 - 12/13/2024 1
9 12/16/2024 - 01/10/2025 0
10 01/13/2025 - 01/24/2025 1
10 01/13/2025 - 02/07/2025 1
10 01/27/2025 - 02/07/2025 1
11 02/10/2025 - 02/21/2025 1
11 02/10/2025 - 03/07/2025 1
11 02/24/2025 - 03/07/2025 1
12 03/10/2025 - 03/21/2025 1
12 03/10/2025 - 04/04/2025 1
12 03/24/2025 - 04/04/2025 1
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:
Monday - Friday, 7 AM-4 PM
REPORT 1ST DAY:
You will receive an email prior to the first day with the 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)
  • 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:
50% Attending Physician
50% Senior Resident
FEEDBACK:
Senior Resident
ASSESSMENT:
 Evaluation by Faculty

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

OBJECTIVES

Curricular Resources :
  1. AHA ACLS application, online $3.00
  2. Harrison's Principles of Internal Medicine, 20e https://accessmedicine.mhmedical.com/book.aspx?bookID=2129#159213748
  3. UpToDate - online clinical resource, available on all UCMC computers
  4. Principles and Practices of Hospital Medicine,  McKean, SC, et al. Second Edition, 2016
Instructional Methods:
  • Clinical Experience - Inpatient
  • Independent Learning Patient Presentation—Learner
  • Self-Directed Learning
  • Ward Rounds
Knowledge/Skills:
  1. Recognize the need for urgent/emergent medical consultation
  2. Identify key issues in peri-operative evaluation
  3. Suggest adequate peri-operative DVT prophylaxis  
  4. Assess hyperglycemia in the peri-operative diabetic patient  
  5. Assess peri-operative hypertension  
  6. Approach postoperative delirium.  
  7. Assess postoperative fever
Main Course Topics :
  • ACLS protocol
  • pre-operative cardiac risk stratification  
  • peri-operative cardiac risk  
  • peri-operative NSTEMI  
  • peri-operative pulmonary risk  
  • peri-operative DVT prophylaxis  
  • hyperglycemia in the peri-operative diabetic patient  
  • peri-operative hypertension  
  • peri-operative anticoagulation in the patient taking chronic anticoagulants including anti-platelet agents  
  • postoperative delirium.  
  • postoperative fever
  • COPD, 
  • asthma, 
  • diabetes, 
  • chronic kidney disease, 
  • heart failure, 
  • CAD
Procedures:
No required procedures
Remediation Plan:
 N/A

SAMPLE WEEK

Monday:
7:00AM 4:00PM Shift
Tuesday:
7:00AM 4:00PM Shift
Wednesday:
7:00AM 12:00PM Shift
12:00PM 1:00PM Internal Medicine Grand Rounds
1:00PM 4:00PM Shift
Thursday:
7:00AM 4:00PM Shift
Friday:
7:00AM 4:00PM Shift
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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