Demonstrate understanding of the clinical presentation, basic physiology, key physical findings, evaluation and management of diseases frequently encountered in an inpatient medicine setting.
- Review the pathophysiology and be able to recognize and initiate evaluation and management plans for the following disease states/clinical presentations:
- Acute Coronary Syndromes*
- Congestive Heart Failure
- Pulmonary Embolism*
- Community Acquired Bacterial Meningitis
- Acute kidney injury
- Acid base disturbance*
- Gastrointestinal bleeding*
- Back Pain*
- HIV and OIs
- Acute mental status change/delirium*
- Abdominal Pain*
- Be able to use clinical reasoning to synthesize data into a prioritized differential diagnosis, working diagnosis, and plan.
Sixteen core topics will be covered in small interactive cases conference or assigned as computer-based learning. A clerkship sites cover same 8 topics in Med 1 and 8 topics in Med 2 but may differ in which topics are covered in case conferences or assigned SIMPLE cases. Many topics are also frequently covered in the interactive “Student Report” teaching sessions. Expert faculty will meet with students for interactive problem solving sessions to reinforce many of the concepts taught in the SIMPLE cases and of course students will actively care for patients with many of these medical problems. The above list also is intended to help guide students’ reading. Students are strongly encouraged to learn about all of their patients’ past medical problems in addition to the acute problems to further enhance their medical knowledge. Weekly Student Report sessions and Case Conferences will explicitly teach the clinical reasoning process using a highly interactive, case-based format.
Students must provide evidence patients’ diagnoses by using the patient logs. For inpatient medicine clerkship, in addition to the 8 required SIMPLE cases, students should read 6 out of the following SIMPLE cases 11, 12, 18, 20- 22, 26, 28, 29, 34, 35. Six are required for ambulatory Block (see Yellow Book for specific Ambulatory requirements).
Exam Master (multiple choice) in internal medicine (at week 7 of 8 week inpatient rotation, end of Ambulatory Block); team evaluations (based on observation) at end of 4 weeks, and assessment of the 4 required patient write-ups.