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 |
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1.1 |
Master fundamental biomedical concepts, terms, processes, and system interactions |
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Foundational Knowledge – Medical Knowledge |
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1.2 |
Describe the determinants of health |
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Foundational Knowledge – Medical Knowledge |
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1.3 |
Utilize evidence in making clinical decisions |
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Application – Patient Care (Clinical Skills) |
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|
2.1 |
Conduct patient interviews and physical examinations |
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Application – Patient Care (Clinical Skills) |
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2.2 |
Diagnose patient health problems |
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Application – Patient Care (Clinical Skills) |
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2.3 |
Propose evidence-based health maintenance and therapeutic treatments |
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Integration – System-Based Practice |
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3.1 |
Connect knowledge of patient populations and health delivery processes in making diagnoses and therapeutic recommendations |
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Integration – System-Based Practice |
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3.2 |
Advocate for the humane, just, safe and prudent care of persons |
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Integration – System-Based Practice |
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3.3 |
Adapt to the complex economic and social structure of health care delivery |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.1 |
Reflect upon one’s personal strengths and weaknesses to make changes in one’s behavior |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.2 |
Find one’s own meaning in medicine |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.3 |
Take care of oneself |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.4 |
Deliver effective patient presentations and document accurately in the medical record |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.5 |
Communicate and work effectively with others |
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Human Dimension – Personal and Interpersonal Professional Development Goals |
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4.6 |
Demonstrate leadership skills in a variety of settings |
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Caring/Valuing – Professionalism Goals |
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5.3 |
Value and behave in a manner consistent with the highest ethical standards of the profession |
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Learning How to Learn – Practice-Based Learning |
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6.1 |
Develop a personal plan to become a better medical professional |
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Learning How to Learn – Practice-Based Learning |
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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 |
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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
|
Encounter Log Items |
Target |
Clinical Setting |
Expected Level of responsibility |
|---|---|---|---|
|
Obesity |
1 |
Ambulatory/inpatient |
Moderate |
|
Diabetes |
2 |
Ambulatory/inpatient |
Full |
|
Chronic Respiratory Illness |
2 |
Ambulatory/inpatient |
Full |
|
Hypertension |
2 |
Ambulatory/inpatient |
Full |
|
Cardiovascular disease |
2 |
Ambulatory/inpatient |
Full |
|
Cancer |
1 |
Ambulatory/inpatient |
Observation |
|
Psychiatric Condition |
1 |
Ambulatory/inpatient |
Moderate |
|
Substance Abuse |
1 |
Ambulatory/inpatient |
Moderate |
|
Neurocognitive Disorders |
2 |
Ambulatory/inpatient |
Moderate |
|
Infection |
2 |
Ambulatory/inpatient |
Full |
|
Acute of Chronic Renal Failure |
2 |
Ambulatory/inpatient |
Full |
|
Acid Base Disorder |
1 |
Ambulatory/inpatient |
Moderate |
|
Anemia |
2 |
Ambulatory/inpatient |
Moderate |
|
Immunosuppression |
1 |
Ambulatory/inpatient |
Moderate |
|
Acute or Chronic Thromboembolic Disease |
1 |
Ambulatory/inpatient |
Observation |
|
Electrolyte disorders |
2 |
Ambulatory/inpatient |
Full |
|
Heart Failure |
2 |
Ambulatory/inpatient |
Full |
|
Joint Disease |
2 |
Ambulatory/inpatient |
Moderate |
|
Gastrointestinal Disease |
1 |
Ambulatory/inpatient |
Moderate |
|
Preventative Care and Screening for Disease |
1 |
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.
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.
