Curriculum

Internal Medicine Clerkship

Director: Luke McCoy, M.D., Clerkship Director and Assistant Professor, Internal Medicine

Clerkship Description: During the Internal Medicine Clerkship you will gain an understanding from whole specialty areas of Internal Medicine, e.g. Cardiology, Pulmonology, Rheumatology, etc.

Boonshoft SOM Educational Objectives/Competencies

Code

What competencies will this unit address?  

Foundational Knowledge – Medical Knowledge

1.1

Master fundamental biomedical concepts, terms, processes, and system interactions

Foundational Knowledge – Medical Knowledge

1.2

Describe the determinants of health

Foundational Knowledge – Medical Knowledge

1.3

Utilize evidence in making clinical decisions

Application – Patient Care (Clinical Skills)

2.1

Conduct patient interviews and physical examinations

Application – Patient Care (Clinical Skills)

2.2

Diagnose patient health problems

Application – Patient Care (Clinical Skills)

2.3

Propose evidence-based health maintenance and therapeutic treatments

Integration – System-Based Practice

3.1

Connect knowledge of patient populations and health delivery processes in making diagnoses and therapeutic recommendations

Integration – System-Based Practice

3.2

Advocate for the humane, just, safe and prudent care of persons

Integration – System-Based Practice

3.3

Adapt to the complex economic and social structure of health care delivery

Human Dimension – Personal and Interpersonal Professional Development Goals

4.1

Reflect upon one’s personal strengths and weaknesses to make changes in one’s behavior

Human Dimension – Personal and Interpersonal Professional Development Goals

4.2

Find one’s own meaning in medicine 

Human Dimension – Personal and Interpersonal Professional Development Goals

4.3

Take care of oneself

Human Dimension – Personal and Interpersonal Professional Development Goals

4.4

Deliver effective patient presentations and document accurately in the medical record

Human Dimension – Personal and Interpersonal Professional Development Goals

4.5

Communicate and work effectively with others

Human Dimension – Personal and Interpersonal Professional Development Goals

4.6

Demonstrate leadership skills in a variety of settings

Caring/Valuing – Professionalism Goals

5.3

Value and behave in a manner consistent with the highest ethical standards of the profession

Learning How to Learn – Practice-Based Learning

6.1

Develop a personal plan to become a better medical professional

Learning How to Learn – Practice-Based Learning

6.3

Appropriately utilize evidence-based resources to address uncertainty in medicine and gaps in knowledge/skills

Clerkship-Level Objectives

Code

What are the clerkship-level objectives for this course? 

Boonshoft SOM Objectives

LO1

Frame a patient encounter in an organized fashion, reinforcing etiology, pathophysiology, clinical manifestations, diagnostic strategies and therapeutic interventions.

1.1, 2.1

LO2

Explain disease specific treatment strategies and associated prognosis and complications.

1.1, 2.1

LO3

Evaluate patients’ presenting clinical problems, including: list (Chest Pain, dyspnea, joint pain, GI bleed, Jaundice, Renal failure, Delirium, Fever, Anemia, Back pain).

1.1, 2.1

LO4

Diagnose and manage patients with acute and chronic conditions including: list (Heart failure, Venous thromboembolism, Hypertension, dementia, stroke, diabetes mellitus, renal failure, pneumonia, COPD, common cancers, Hyperlipidemia).

1.1, 2.1, 2.2, 2.3

LO5

Apply the fundamentals of adult care to coordinate the care of healthy adults.

1.1

LO6

Demonstrate systematic approach to adult patients utilizing sound skills in gathering components of the history and physical exam.

2.1, 4.4

LO7

Demonstrate appropriate interpretation of labs and testing.

2.2

LO8

Begin to formulate diagnostic reasoning, and justify therapeutic decision-making.

1.3, 2.2, 2.3

LO9

Demonstrate clear and concise oral presentations and written documentation reflecting a systematic approach to adult patients.

2.1, 4.4

LO10

Identify the social determinants of health for a specific patient, and develop a plan to coordinate care to include community resources to try to improve the health of the individual.

1.2, 3.1, 3.2

LO11

Consider patient, physician, and system barriers to successfully negotiate treatment plans and patient adherence; and identify strategies that may be used to overcome these barriers.

1.2, 3.1, 3.2

LO12

Identify the role of each team member to the care of the patient, and call on interdisciplinary resources to provide optimal and comprehensive care.

3.3, 4.5, 4.6

LO13

Establish professional relationships and effectively communicate with patients, their families, instructors, colleagues and staff.

4.1, 4.3, 4.5, 4.6

LO14

Work effectively with the broad, interdisciplinary team in patient care and appropriately incorporate their unique care skills.

4.1, 4.3, 4.5, 4.6

LO15

Demonstrate the ability to act with honesty/integrity while maintaining ethical duties to patients and others.

5.3

LO16

Demonstrate the ability to act in a manner that is dependable, dedicated and punctual.

5.3

LO17

Demonstrate the ability to act with patience, altruism and equanimity.

5.1, 4.1, 4.6

LO18

Recognize when additional information is needed to care for the patient and demonstrate ongoing commitment to self-directed learning.

6.3

LO19

Demonstrate effective skills in navigating the medical literature to answer clinical care questions.

6.3

LO20

Demonstrate the ability to acquire and soundly manage knowledge, identify knowledge deficiencies and create a plan for knowledge gains

4.2, 6.3

LO21

Demonstrate the ability to seek out and listen to feedback on performance, accept it positively, and respond to it constructively by improving performance.

4.5, 4.3, 4.1

Required Clinical Experiences

Clerkship/Clinical discipline

Patient type/Clinical condition

Clinical setting

Level of student responsibility

Internal Medicine 

Obesity

Ambulatory/inpatient

Moderate

Internal Medicine 

Diabetes

Ambulatory/inpatient

Full

Internal Medicine 

Chronic Respiratory Illness

Ambulatory/inpatient

Full

Internal Medicine 

Hypertension

Ambulatory/inpatient

Full

Internal Medicine 

Cardiovascular disease

Ambulatory/inpatient

Full

Internal Medicine 

Cancer

Ambulatory/inpatient

Observation

Internal Medicine 

Psychiatric Condition

Ambulatory/inpatient

Moderate

Internal Medicine 

Substance Abuse

Ambulatory/inpatient

Moderate

Internal Medicine 

Neurocognitive Disorders

Ambulatory/inpatient

Moderate

Internal Medicine 

Infection

Ambulatory/inpatient

Full

Internal Medicine 

Renal Failure

Ambulatory/inpatient

Full

Internal Medicine 

Acid Base Disorder

Ambulatory/inpatient

Moderate

Internal Medicine 

Anemia

Ambulatory/inpatient

Moderate

Internal Medicine 

Immunosuppression

Ambulatory/inpatient

Moderate

Internal Medicine 

VTE

Ambulatory/inpatient

Observation

Internal Medicine 

Electrolyte disorders

Ambulatory/inpatient

Full

Internal Medicine 

Heart Failure

Ambulatory/inpatient

Full

Internal Medicine 

Joint Disease

Ambulatory/inpatient

Moderate

Internal Medicine 

Gastrointestinal Disease

Ambulatory/inpatient

Moderate

Internal Medicine 

Well Adult Care

Ambulatory

Full

Observation: Student is observing encounter

Moderate Participation: Student completes the History and Physical (either complete or focused) and participates in the differential diagnosis. (*Student directly interacts with the patient)

Full Participation: Student completes History and Physical (either complete or focused), participates in the differential diagnosis, and then completes a therapeutic treatment plan, which can include documentation.

For procedures:

            Observation

            Assisted in the procedure

            Fully performed the procedure

Last edited on 06/22/2020.