Department of Internal Medicine
Clerkships
Medicine II
Subspecialty Track
| Clerkship Manager: | Toni Kerney |
| Medical Office Bldg. I (next to Provena) | |
| tbkerney@illinois.edu | |
| Subspecialty Faculty Participants: | |
| Gastroenterology: | Drs. Nugent & Ramkumar (4 week rotation & M4’s only, Provena/Christie) |
| Cardiology: | Drs. Lakshmi & Thopiah (Provena) |
| Pulmonary: | Drs. Bobat & Patel (Provena) |
| Drs. Topolosky & Sheikh (M4’s only, Provena/Christie) |
|
| Reporting Time: | 8:00 a.m. page assigned subspecialist |
| Sites: | Carle Clinic, Urbana, IL |
| Carle Foundation Hospital, Urbana, IL | |
| Provena Covenant Medical Center, Urbana, IL | |
| VA Illiana Healthcare Center, Danville, IL | |
| Christie Clinic, Champaign, IL | |
| Duration of Clerkship: | 4 weeks (which may be comprised of 2 weeks each of one of the above specialties) |
| Dates Available: | year round, depending upon faculty availability |
| Prerequisites: | Satisfactory completion of Medicine I Core clerkship and as outlined above |
| Supervision: | Subspecialty faculty |
| Students per Rotation: | 1 per subspecialty |
| Work hours: | minimum 40 hours per week, maximum 80 hours per week |
| Night Call Required: | varies according to subspecialty |
| Daily activities: | full-range of subspecialty experience, including ambulatory clinic comprised of new consults and follow-up visits, in-patient consults and follow-up visits, and emergency/ICU consults |
Goals
The student will increase his/her familiarity with internal
medicine problems pertaining to the subspecialties of nephrology,
cardiology, pulmonary, and gastroenterology. By focusing on
appropriate diagnostic and therapeutic interventions and assuming
more direct responsibility for the development of these plans, the
student will engage in a formative experience designed to prepare
him/her for the future care of patients. This rotation is designed
to be rigorous with high performance expectations of the students.
By the end of the rotation the student will:
- be able to obtain a focused history and perform a skillful
physical exam of the subspecialty patient.
- be able to cogently present the patient’s data verbally
and in written notes - understand the pathophysiology, diagnostic and therapeutic
interventions for common internal medicine subspecialty patients. - learn to interpret common tests for subspecialty patients,
the indications for performing subspecialty specific procedures,
and have an understanding of the information provided by such
procedures. - gain familiarity with common pharmacological agents and
their dosing used in subspecialty patients - communicate effectively as a consultant with referring
physicians and other health care providers, patients,
families, and all members of the health care team. - learn to evaluate and integrate community resources
into the health maintenance of individual patients
and their families. - understand the role of the subspecialty as a primary
specialty and as an integral component of the medical team
in complex medical problems.
Objectives
Patient care
The student will demonstrate an appropriately focused medical
interview and physical examination on patients presenting for
subspecialty consultation in clinic or in the hospital. The student
will develop an appropriate differential diagnosis and problem list.
The student will use clinical data to develop diagnostic and
therapeutic plans. The student will show an ability to educate
patients and families and establish effective doctor-patient relationships.
Medical Knowledge
The student will demonstrate a basic understanding of common
subspecialty disorders (see #3 under goals above) as well as the
appropriate diagnostic tests (#4 under goals) for these disorders.
Practice-Based Learning and Improvement
The student will develop a program of self-guided learning
based on case exposure.
Interpersonal and Communication Skills
The student will present concise, well-organized case presentations
to faculty after completing an initial consultation. The student will
demonstrate appropriate skills in consultative letters to referring
physicians. The student will describe subspecialty diagnoses to
patients and their families.
Professionalism
The student will demonstrate respect for the opinions of others
including nurses, dietitians, medical technicians, social workers,
and referring physicians. The student will dress appropriately
according to the setting, be punctual in completing assigned duties
(including medical records), and show unconditional positive regard
for patients and families.
Systems-Based Practice
The student will demonstrate appropriate interaction with all members
of the health care team. The student will recommend appropriate
consultation, show appreciation of basic ethical and legal principles
as they apply to patient care. The student will be able to delineate
community-based resources to assist in patient management.
Teaching Methods
Experiential (in-patient and clinic evaluations) and didactic sessions
on specific subspecialty issues will form the basis of the
teaching methods. Students will complete consult evaluations
in both the ambulatory and inpatient settings. The student will
then present to the attending and with supervision from the
attending, develop a diagnostic and therapeutic plan.
Follow-up care and notes will be performed by the student,
supervised by the attending.
Self-learning will continue throughout the elective, using
Harrison’s Principles of Internal Medicine as a basic textbook
and other subspecialty oriented texts as recommended.
Students will be asked to report on specific learning topics
to the faculty. Many of these topics will arise from the clinical
cases to which the student is exposed.
Students will attend all available scheduled conferences in the
Department of Medicine during the rotation. These include
Grand Rounds, Clinical Pathological Correlation Conferences,
and the Infectious Disease Conference.
Evaluation
Of the student:
Students will be provided feedback by the attending at the
end of the rotation in regard to the core competencies and
in an ongoing way throughout the rotation. A standard
electronic evaluation form provided by the Department of
Internal Medicine will be completed by the attending.
Formative mid-cycle evaluation will also be provided by
the attending.
Of the Attending and Clerkship:
The student will evaluate the clerkship and the attending
with whom he or she worked using standard survey instruments
provided by the Department of Internal Medicine.
Supervision:
The student will be continuously supervised by on site
subspecialty faculty.
(Back to Medicine II Description Page)
9/4/08
