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Clerkship Guide
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Electives Syllabi

Internal Medicine

# Family Medicine
# Internal Medicine
# Emergency Medicine
# OB/GYN
# Surgery
# Pediatrics
# Psychiatry

Purpose:
The purpose of the Internal Medicine elective clerkship is to provide
the student additional didactic and practical clinical experience in
the areas of evaluation, diagnosis, and medical management of the
patient presenting medical problems in a primary care clinic or
hospital setting. Also, the student is expected to gain additional
clinical knowledge and practical experience pertaining to the natural course of disease.

Objectives:
The Internal Medicine elective rotation should provide clinical exposure and knowledge in the area of primary care medicine. This may be accomplished through a variety of learning structures developed to achieve proficiency in the following areas:

  1. Supervised patient evaluation, diagnosis, and management of general
    medical maladies
  2. Application of didactic general medicine principles
  3. Development and expansion of clinical psychomotor skills

Basic Medical Skills:
During the clerkship, various degrees of familiarity with certain basic medical skills are recommended, including:

  • Familiarity with a variety of clinical procedures through physician supervision
  • A degree if manual proficiency in clinical procedures through actual supervised performance
  • Awareness of the availability of various clinical procedures, and consider selected procedures as potential aids in diagnosis and/or therapy
  • Application of osteopathic principles and procedures, as appropriate

Didactic Concepts:
in medicine should be expanded by:

  • Participation in patient assignments and conferences
  • Supervised and critiqued clinical work-up of patients admitting to the facility
  • Readings and case presentations
  • Attendance/participation in formal clinical presentations by the clinical staff and guest lecturers, when requested
  • Performance feedback to students

Clinical Performance:
in patient evaluation, diagnosis, management, and therapy may be accomplished by:

  • General medicine assignments
  • Specific assigned and/or supervised medical/surgical case responsibilities

The students should gain experience with patients in common medical diseases, disorders or problems appropriate to general medicine and surgery, and be able to perform the following tasks, with staff supervision:

  • Obtain a complete and accurate history and physical examination
  • Keep adequate and up-to-date medical records
  • Identify patient problems utilizing the SOAP format
  • Provide patient case presentation to the attending physician with appropriate management strategy
  • Develop and propose a plan for the management of the patient for review by the attending including: indication of the need to perform laboratory or radiographic tests, determination of the appropriate physical activity by the patient, determination and recommendation of therapeutic measures, pharmacology of all medications utilized including indications, dose risks, interactions and appropriate routes of administration, determination of the type and caloric content of the patient's diet, determination of the requirement for special precautions or consultation
  • Follow the patient at appropriate intervals and recommend modification of the original plan when necessary
  • Determine when the patient should be re-evaluated, or the earliest possible time for release from care and propose a method for patient follow-up
  • Maintain a humane approach by recognizing and allaying the fears and anxieties of the patient and his/her family by attempting to understand the impact of the patient's background and environmental relationship to his/her illness or trauma