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Center for Health Sciences
Internal Medicine
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Clerkship

Syllabus

IM I - CLME 9115
IM II - CLME 9125

  1. General Description
      1. Practical clinical experience is an integral part of each OSU College of Osteopathic Medicine (OSU-CHS) clerkship program and directs the clerkship program. The courses (rotations) are conducted at OSU-CHS affiliated “core” teaching hospitals located in Tulsa, Oklahoma City, Enid, Tahlequah, Durant, Lawton, and Muskogee. OSU-CHS requires successful completion of two internal medicine rotations for graduation.
      2. Two rotations (courses I-CLME 9115 and II-CLME 9125) in clerkship medicine are assigned. Each rotation is a four-week clinical experience designed to develop patient-related cognitive and decision-making skills. The teaching physician for each service directs patient care responsibilities, reading assignments and educational activities. Students are encouraged to observe, evaluate and participate in discussions of patient care.
      3. Students are expected to dress appropriately. Men should wear a shirt, tie and slacks. Women should wear slacks or a dress. A white physician’s jacket with OSU identification should be worn at all times. Scrubs are acceptable in the Intensive Care Unit and the GI Center.
      4. Students are expected to identify themselves to patients and hospital personnel as medical students, not as graduates or licensed physicians.
  2. Course Objectives
        1. Medicine clerkship is designed to acquaint third-year medical students with care of acutely-ill, hospitalized patients. Case discussions, clinical pathology conferences, didactic lectures, and bedside teaching accompany patient care.
        2. Effectively take a history and physical exam and generate a differential diagnosis.
        3. COMAT objectives are located on the website: http://www.nbome.org/comat. Each student is expected to review the 10 COMAT objectives on the website prior to starting the course. This is to guide the student on areas to focus on for the rotation.
  3. Learning Resources
        1. OSU Medical Center Library
        2. OSU-CHS Library
        3. Harrison’s Principles of Internal Medicine – 18th ed.
        4.  Step-Up to Medicine. Agabegi. 3rd ed. 2013
        5. www.uptodate.com
        6. Clinical Pharmacy lectures available on D2L
        7. Articles and  guidelines on common topics available on D2L
        8. Dr. Spain’s Cardiology lectures are available on D2L.
        9. NBOME website:  http://www.nbome.org/comat
        10. Exam Master through OSU-CHS library
        11. Online SIMPLE cases http://www.med-u.org/virtual_patient_cases/simple
  4. Student Responsibilities
              1. One hundred percent (100%) attendance is required on all rotations. An excused absence must be obtained from the attending and approved by the course coordinator prior to any absence. Students are expected to make up all absences due to short-term illness, accident, or personal matters (e.g., intern interviews, etc.). Make-up arrangements are made with the service director. Additionally, attendance is mandatory at Morning Report, Grand Rounds, Tumor Board, and Clinic Pathologic Conference.
              2. Online SIMPLE cases - Complete 1 case each week for a total of 8 cases (choose out of 36 cases):
                http://www.med-u.org/virtual_patient_cases/simple
              3. Students will be responsible to obtain their own Step-Up to Medicine. Agabegi. 3rd ed. 2013. Student is responsible for completing this book by the end of the 8 weeks.  Reading assignment is provided at the beginning of the course.
              1. Students are required to watch the Dr. Spain cardiology lectures (6) on D2L.
              2. It is suggested that students review all available material (articles, guidelines, ACLS protocols etc.) on D2L.
              3. Students are required to work two weekends out of each four week rotation.
              4. Strongly encouraged to take COMAT practice exam on website http://www.nbome.org/comat
  1. Educational Events
              1. Morning Report: Conducted from 7:15-8:15 a.m., Monday, Tuesday, Thursday, and Friday. Consists of case presentations and various lectures.
              2. Student Book Club: A review of Step-Up to Medicine supervised by an Internal Medicine Resident on Friday from 3 -5 p.m.
              3. Clinical Rounds: Conducted following Morning Report, Monday through Friday. The length and involvement of rounds are determined by type of service and the service director. Many services provide experience in an office setting.
              4. Tumor Board: Held quarterly on third Tuesday of that month from 12 - 1 p.m.
              5. Grand Rounds: Held every Wednesday from 12 - 1 p.m.
              6. Clinical Pharmacy lectures: Wednesday mornings at 7:15 (lectures available on D2L for students located outside of Tulsa)
  2. Evaluation
          1. At the completion of each rotation, the attending physician on each service determines overall performance. Input is gathered from residents, interns and other supervising physicians. The final evaluation, with comments, is determined by careful assessment of medical knowledge, diagnostic acumen, decision-making, professionalism, attendance, and interaction with other members on the service.
          2. Grades for Each Month’s Rotation are determined as follows:
            1. The clerkship evaluation is worth seventy-five (75%) and is determined by attendance, performance during rotation, and participation on the service.
            2. Students must pass the Internal Medicine COMAT Exam to pass this rotation.  This consists of a scaled score of 90 or greater. The COMAT exam will count for twenty-five (25%) of final grade.
            3. COMAT scaled scores will translate to percent based on the following:
                1. 90 = 70%  need to pass the course
                2. 95 = 75%
                3. 100 = 80%
                4. 105 = 85%
                5. 110 = 90%
                6. 115 = 95%
                7. 120 or greater in 100%
            4. Overall Evaluation is combination of COMAT % score (25%) and evaluation score (75%).
            5. A

              90-100%

              Excellent

              B

              80-89%

              Good

              C

              70-79%

              Satisfactory

              D

              65-69%

              Marginal

              U

              64% and below

              Unsatisfactory


          3. Any student who scores below scaled score of 90 on COMAT will be required to retake the COMAT exam. In addition, that student may meet with course coordinator to discuss results of exam and develop a remediation action plan.
          4. The site evaluation is a course requirement, and must be completed within seven (7) calendar days after the completion of the rotation.
          5. Grade Grievances: Directed to the course coordinator or chairman of internal medicine.

Course Coordinator – Kathy Cook, D.O.

Department Chair - Damon Baker, D.O.

Contact Dr. Cook or Dr. Baker through Amanda Scott, program coordinator/administrative assistant:
Email: amanda.l.scott@okstate.edu
Phone: 918-382-3535