Clerkship Goals and Objectives
Medicine 5000 Goals
During the 8 week Internal Medicine clerkship, students will acquire the clinical skills, knowledge and professional attitudes and behaviors necessary to evaluate, diagnose and treat adult patients with a wide variety of illnesses with growing independence under supervision of residents and attendings.
Clerkship Objectives:
Clinical Skills
1. To obtain, record in writing, and present orally the medical history and general physical examination using the standard format.
2. To formulate from the history, physical examination and initial laboratory data, a list of the patient’s problems and to write a patient-oriented assessments with a diagnostic and therapeutic plan for the active admitting problems.
3. To write daily progress notes on each patient using the problem-oriented format.
4. To keep up with all aspects of your patients’ progress.
5. To communicate to other members of the healthcare team regarding the evaluation and care of the patient.
6. To communicate with patients, families and caregivers the diagnosis, treatment and prognosis.
Attitudinal/Professional Skills
1. To interact in a professional and caring manner with patients and their families.
2. To display professional behavior including reliability, integrity, honesty and altruism.
3. To increasingly develop professional skills regarding talking with patients and families under the direct supervision of house staff or faculty as well as alone.
4. Enhance your own intellectual curiosity, self-stimulated reading and independent study as part of your daily personal life as a physician.
5. To work effectively with all members of the health care team, i.e., to function as a “team player”.
6. To develop a respect for patient privacy and confidentiality.
7. Display a professional image in manner, dress and grooming.
8. To provide patient care and advocacy without interference by personal bias.
9. To be
able to recognize personal limitations in knowledge and skills.
Knowledge
During the clerkship, students will acquire and demonstrate knowledge of basic and clinical science of medical problems of adult patients including:
Patients with a Symptom, Sign, or Lab Abnormality
Abdominal Pain
Altered Mental Status
Anemia
Back Pain
Chest Pain
Cough
Dysuria
Fluid, Electrolyte, and Acid-Base Disorders
Joint Pain
Patients with a Known Disease Condition
Congestive Heart Failure
COPD
Depression
Diabetes Mellitus
Dyslipidemia
HIV Infection
Hypertension
Smoking Cessation
Substance Abuse
Common Cancers
Students are expected over the 8 weeks to see a wide variety of
problems. They are expected to be able to evaluate the following problems
(competencies):
Competencies: (number of patients expected to be seen)
Under each competency are the specific Symptoms and Diagnoses that will fulfill the requirement
Abdominal Pain – (2) |
Altered Mental Status – (2) |
Anemia – (2)
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Arrythmias – (2) |
Cancer (Solid) – (2) |
Cancer (Liquid) – (1) |
Chest Pain – (2) |
Cirrhosis – (1)
|
Congestive Heart Failure – (1) |
Connective Tissue Disease – (1) |
COPD – (1)
|
Coronary Artery Disease – (1) |
Cough – (2) |
Depression – (1)
|
Diabetes Mellitus – (2) |
Dyslipidemia – (2) |
End-of Life Care (1) |
Endocrine – (2) |
GI Bleed – (1) |
Hepatitis – (1)
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Hepato-Biliary Disease – (3) |
HIV – (1)
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Hypertension – (3)
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Hypotension – (1)
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Infections – (3) |
Joint Pain – (1)
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Laboratory Abnormality – (4) |
Pain – (2)
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Pneumonia – (1)
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Renal Failure – (2)
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Substance Abuse – (1) |
Shortness of Breath – (3) |
Thromboembolic disease – (1) |
UTI – (1)
|
Valvular Heart Disease – (1) |
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General Clerkship Requirements
*National Board Subject Examination: Last Friday of the clerkship at 9:00 a.m. in the Small Auditorium.
The minimum standards for passing Medicine 5000 are:
1. 70% or better on each clinical evaluation with satisfactory narrative comments.
2. A raw NBME Subject Test of 60 equaling an MCG converted test score of 70% or better.
3. Recommendations for remediation will be made on an individual basis depending on the nature of the deficiency.
4. Students are required to turn in 3 history and physical new patient work-ups representing his or her work for each four weeks to the clerkship director’s office.
5. Students are required to track all patients seen during the rotations through the One 45 system.
6. Students are required to submit an evidence problem based question/answer write-up.
7. Students are required to turn in one ethical dilemma for the medicine clerkship. For example, if a resident wants you to tell the attending that the CBC is pending when it was done. How are you going to handle the situation? The ethical dilemmas should be turned into the clerkship coordinator, where it will be recorded, omitting the student’s identity, and turned in to Alan Roberts, M.D. to discuss at the Ethical Dilemmas Noon Conference.
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Schedules & Rotations
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Medicine Clerkship
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Resources
Department of Medicine
BI-5072
Augusta, GA 30912
(706) 721-2055
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