clerkship handbook - University of Hawaii – Department of Medicine

TABLE OF CONTENTS
CONTACT INFORMATION ................................................................................................................................................... 3
SUMMARY TABLE OF CLERKSHIP REQUIREMENTS ................................................................................................. 4
TOP 10 WAYS TO EXCEL ON THE INTERNAL MEDICINE CLERKSHIP ................................................................. 5
DESCRIPTION OF THE THIRD-YEAR CLERKSHIP IN INTERNAL MEDICINE ...................................................... 6
INTRODUCTION ..................................................................................................................................................................... 6
Goal of the Clerkship ........................................................................................................................................ 6
Design of the Clerkship .................................................................................................................................... 6
Work Hours, Designated Study Time, Days Off and Holidays ..................................................................... 6
Absences ........................................................................................................................................................... 7
CURRICULUM ....................................................................................................................................................... 8
Learning Objectives .......................................................................................................................................... 9
Learning Strategies .......................................................................................................................................... 9
EVALUATION IN THE THIRD-YEAR CLERKSHIP IN INTERNAL MEDICINE ..................................................... 9
General Guidelines ........................................................................................................................................... 9
Retaking Exams .............................................................................................................................................. 10
Honors.............................................................................................................................................................. 10
SPECIFIC REQUIREMENTS AND GUIDELINES................................................................................................ 12
Inpatient Medicine ........................................................................................................................................... 12
Ambulatory Medicine ...................................................................................................................................... 16
PBL Tutorial ..................................................................................................................................................... 18
Role Descriptions for Medicine 531/532 ....................................................................................................... 19
MISCELLANEOUS CLERKSHIP INFORMATION ......................................................................................................... 24
GUIDELINES FOR APPROPRIATE APPEARANCE AND ATTIRE .................................................................... 25
RECOMMENDED RESOURCES ......................................................................................................................... 26
REQUIRED EQUIPMENT .................................................................................................................................... 27
EXPOSURE TO BLOOD/BODY FLUIDS PROTOCOL ....................................................................................... 28
HIV MEDICINE ..................................................................................................................................................... 29
MEDICINE T-RES INSTRUCTIONS .................................................................................................................... 32
STUDENT EVALUATION OF TEACHERS .......................................................................................................... 34
EVALUATION FORMS ......................................................................................................................................................... 35
OBSERVED HISTORY AND PHYSICAL ............................................................................................................. 36
THE BASIC PHYSICAL EXAMINATION SEQUENCE (BPES) ........................................................................... 37
OBSERVED PATIENT COUNSELING ................................................................................................................ 48
CASE PRESENTATION ....................................................................................................................................... 49
SMALL GROUP LEARNING EXPERIENCE ....................................................................................................... 50
MID-CLEKSHIP FEEDBACK FORM ................................................................................................................... 51
STUDENT EVALUATION FORM ......................................................................................................................... 52
OTHER FORMS ...................................................................................................................................................................... 56
INPATIENT MEDICINE AGREEMENT FORM ..................................................................................................... 57
INPATIENT WORK HOURS LOG ........................................................................................................................ 59
PHYSICIAN’S ORDERS ...................................................................................................................................... 60
APPENDICES .......................................................................................................................................................................... 61
TRAINING PROBLEMS LIST .............................................................................................................................. 62
GENERAL CLINICAL CORE COMPETENCIES IN INTERNAL MEDICINE ..................................................... 192
LIST OF ERROR-PRONE ABBREVIATIONS, SYMBOLS, AND DOSE DESIGNATIONS ............................... 234
COMPREHENSIVE WRITE-UPS ....................................................................................................................... 238
Definition of Comprehensive Write-up ....................................................................................................... 238
Submission Requirements of Comprehensive Write-ups ........................................................................ 238
Example of Inpatient History and Physical ................................................................................................ 239
Example of Ambulatory Note ....................................................................................................................... 246
CLINICAL SKILLS EXAMINATION (CSE) ........................................................................................................ 251
NBME SUBJECT EXAM IN INTERNAL MEDICINE .......................................................................................... 256
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