clerkship handbook - University of Hawaii â Department of Medicine

More documents

Recommendations

Info

U.H. John A. Burns School of Medicine Third-Year Clerkship in Internal Medicine RECOMMENDED RESOURCES Highly recommended clerkship guidebook: Primer to the Internal Medicine Clerkship, Second Edition, A Guide Produced by the Clerkship Directors in Internal Medicine (CDIM), c2008, 2nd edition – download free of charge from http://www.im.org/Publications/PhysiciansInTraining/Pages/Primer.aspx Online resources: Internal Medicine Essentials for Clerkship Students - online materials such as photographs, tables, screening tools and other instruments – access free of charge at http://www.acponline.org/acp_press/essentials/ UpToDate – access available at some training sites Textbooks: Internal Medicine Essentials for Students, American College of Physicians (ACP) and Clerkship Directors in Internal Medicine (CDIM), c2011 – discount offered for ACP student members at http://www.im.org/Publications/PhysiciansInTraining/Pages/Essentials.aspx Kochar’s Clinical Medicine for Students, Lippincott Williams & Wilkins, c2008, 5 th edition Cecil Essentials of Medicine, Elsevier, c2011, 8th edition Reference textbooks: DeGowin’s Diagnostic Examination, McGraw-Hill, c2008, 9th edition Spiral bound books and pocket guides: Pocket Medicine, Lippincott Williams & Wilkins, c2010, 4 th edition Practical Guide to the Care of the Medical Patient, Elsevier, c2011, 8 th edition Washington Manual of Medical Therapeutics, Lippincott Williams & Wilkins, c2010, 33rd edition Washington Manual of Outpatient Internal Medicine, Lippincott Williams & Wilkins, c2010, 2nd edition The Sanford Guide to Antimicrobial Therapy, c2012, 42nd edition Highly recommended self-assessment program: MKSAP (Medical Knowledge Self-Assessment Program) for Students 5 (Book and Digital), American College of Physicians (ACP) and Clerkship Directors in Internal Medicine (CDIM), c2011 – discount offered for ACP student members at http://www.im.org/Publications/PhysiciansInTraining/Pages/MKSAPforStudents.aspx 26
U.H. John A. Burns School of Medicine Third-Year Clerkship in Internal Medicine REQUIRED EQUIPMENT 1. White coat 2. JABSOM nametag 3. Stethoscope 4. Ophthalmoscope and otoscope 5. Penlight 6. Reflex hammer 7. Tuning fork 128 Hz for vibratory exam 8. Tape measure 9. Visual acuity card 10. Small magnifier lens 11. Disposable tongue blades 12. Cotton-tipped swabs for sensory exam 13. Watch with second and minute marks to record vital signs, etc. All of the above listed equipment, except for the JABSOM nametag and watch, are available for purchase at the Medical Bookstore. Students are expected to have ALL of the equipment and to bring them to their assigned training sites on the first day. The equipment should be easily and quickly accessible, i.e. worn, carried in a bag or in/on a white coat. All students on inpatient medicine are required to carry ALL of the listed equipment AT ALL TIMES while on the wards. Students on ambulatory medicine may find that their assigned sites may have some, but not all, of the listed equipment available for student use. If the listed equipment are NOT easily and quickly accessible at the site, it is the student’s responsibility to carry them AT ALL TIMES. The possible consequences of not having the required equipment are (1) being immediately sent to the medical bookstore to purchase them (requiring the student to make up the missed time) and (2) receiving unsatisfactory evaluations in the areas of (a) Clinical Skills - physical examinations and (b) Professionalism dependability, professional appearance and attire. 27
Page 1 and 2: UNIVERSITY OF HAWAII JOHN A. BURNS
Page 3 and 4: CONTACT INFORMATION Clerkship Direc
Page 5 and 6: TOP 10 WAYS TO EXCEL ON THE INTERNA
Page 7 and 8: If a student does not follow these
Page 9 and 10: Learning Objectives a. Training Pro
Page 11 and 12: SUMMARY OF EVALUATION 1. Medical Kn
Page 13 and 14: Medical Resident or Upper Level Res
Page 15 and 16: e) After presenting the case, the s
Page 17 and 18: Patient Assignment: The Ambulatory
Page 19 and 20: Role Descriptions for Medicine 531/
Page 21 and 22: student(s) assigned to the site. Th
Page 23 and 24: ased health care that is patient fo
Page 25: U.H. John A. Burns School of Medici
Page 29 and 30: U.H. John A. Burns School of Medici
Page 31 and 32: TEMPORARY PARKING PASS FOR THE CLIN
Page 33 and 34: Special: Special is any patient tha
Page 35 and 36: EVALUATION FORMS 35
Page 37 and 38: 5. Obtains information for the othe
Page 39 and 40: EYES: Test Visual acuity. Check eac
Page 41 and 42: Inspect. Auscultate - epigastrium,
Page 43 and 44: COMMON ERRORS OF THE BASIC PHYSICAL
Page 45 and 46: Steps Done Not Done Seq. Incor . Te
Page 47 and 48: Steps Done Not Done Seq. Incor . Te
Page 53 and 54: Exceptional Very Competent Competen
Page 55 and 56: UNIVERSITY OF HAWAII JOHN A. BURNS
Page 59 and 60: Third-Year Clerkship in Internal Me
Page 61 and 62: APPENDICES 61
Page 63 and 64: TRAINING PROBLEMS LIST (continued)
Page 65 and 66: 9. The impact of smoking on cardiov
Page 67 and 68: 4. Recognize the importance of addr
Page 69 and 70: • Location. (PC, CS) • Radiatio
Page 71 and 72: Selecting various tests and procedu
Page 73 and 74: 7. Principles of management of the
Page 75 and 76: Ropper AH. (2005). Acute confusiona
Page 77 and 78:
11. The meaning and utility of vari
Page 79 and 80:
Hoffbrand V. Provan D. ABC of clini
Page 81 and 82:
Bed rest. (MK) Exercise. (MK) Analg
Page 83 and 84:
setting. J Gen Intern Med. 2001;16:
Page 85 and 86:
Pulmonary hypertension/cor pulmonal
Page 87 and 88:
Pre-test and post-test likelihood o
Page 89 and 90:
Ability to communicate with patient
Page 91 and 92:
Currie GP, Gray RD, McKay J. Chroni
Page 93 and 94:
Anemia. (MK) Neuromuscular weakness
Page 95 and 96:
of Internal Medicine. 16 th ed. New
Page 97 and 98:
Dyspareunia. (PC, CS) Scrotal, test
Page 99 and 100:
TRAINING PROBLEM #10: FEVER RATIONA
Page 101 and 102:
Developing an appropriate evaluatio
Page 103 and 104:
14. The types of fluid preparations
Page 105 and 106:
Hauser SL, Longo DL, Jameson JL, ed
Page 107 and 108:
Relevant past medical history. (PC,
Page 109 and 110:
TRAINING PROBLEM #13: KNEE PAIN RAT
Page 111 and 112:
5. Communication skills: Students s
Page 113 and 114:
TRAINING PROBLEM #14: RASH RATIONAL
Page 115 and 116:
Symptoms associated with the rash (
Page 117 and 118:
TRAINING PROBLEM #15: UPPER RESPIRA
Page 119 and 120:
Throat culture. (PC) Chest radiogra
Page 121 and 122:
TRAINING PROBLEM #16: ACUTE MYOCARD
Page 123 and 124:
esults of: Echocardiogram. (PC, MK)
Page 125 and 126:
TRAINING PROBLEM #17: ACUTE RENAL F
Page 127 and 128:
Anion gap. (PC, MK) ABG (PC, MK) Se
Page 129 and 130:
TRAINING PROBLEM #18: COMMON CANCER
Page 131 and 132:
Students should be able to define t
Page 133 and 134:
TRAINING PROBLEM #19: COPD/OBSTRUCT
Page 135 and 136:
Pulse oximitry. (PC, MK) ABG. (PC,
Page 137 and 138:
TRAINING PROBLEM #20: DIABETES MELL
Page 139 and 140:
24-hour urine for protein and creat
Page 141 and 142:
TRAINING PROBLEM #21: DYSLIPIDEMIA
Page 143 and 144:
Laboratory response to therapy. (PC
Page 145 and 146:
fibrillation (MK) 11. Role of criti
Page 147 and 148:
-Angoitensin receptor blockers. (PC
Page 149 and 150:
TRAINING PROBLEM #23: HIV INFECTION
Page 151 and 152:
Mental status examination. (PC) Fun
Page 153 and 154:
D. REFERENCES: Guidelines for preve
Page 155 and 156:
scientific evidence supporting each
Page 157 and 158:
and the family. (P) 9. Recognize th
Page 159 and 160:
TRAINING PROBLEM #25: LIVER DISEASE
Page 161 and 162:
diagnosis and severity of disease,
Page 163 and 164:
TRAINING PROBLEM #26: MAJOR DEPRESS
Page 165 and 166:
Cranial CT. (PC, MK) Cranial MRI. (
Page 167 and 168:
TRAINING PROBLEM #27: NOSOCOMIAL IN
Page 169 and 170:
characteristics as well as patient
Page 171 and 172:
TRAINING PROBLEM #28: OBESITY RATIO
Page 173 and 174:
Accessing and utilizing appropriate
Page 175 and 176:
The presence and quantification of
Page 177 and 178:
www.cdc.gov/mmwr/PDF/RR/RR4608.pdf
Page 179 and 180:
13. Typical clinical scenarios when
Page 181 and 182:
treatment plan for patients that in
Page 183 and 184:
future risk. (MK) 10. The indicatio
Page 185 and 186:
TRAINING PROBLEM #32: SUBSTANCE ABU
Page 187 and 188:
Determining when to obtain consulta
Page 189 and 190:
MI/unstable angina. (MK) Congestive
Page 191 and 192:
eing, ability to work, and the fami
Page 193 and 194:
8. Communicating the prioritized di
Page 195 and 196:
A diagnostic and treatment plan for
Page 197 and 198:
GENERAL CLINICAL CORE COMPETENCIES
Page 199 and 200:
McGee SR. Evidence-Based Physical D
Page 201 and 202:
1. Demonstrating appropriate listen
Page 203 and 204:
Page 205 and 206:
Pulmonary edema/“congestive heart
Page 207 and 208:
#6 THERAPEUTIC DECISION MAKING GENE
Page 209 and 210:
consent and advance directives. Add
Page 211 and 212:
#8 SELF-DIRECTED LEARNING GENERAL C
Page 213 and 214:
treatment of disease but also the r
Page 215 and 216:
#10 COORDINATION OF CARE GENERAL CL
Page 217 and 218:
Page 219 and 220:
6. Demonstrate ongoing commitment t
Page 221 and 222:
1. Obtaining informed consent, when
Page 223 and 224:
malnutrition (e.g. alopecia, ecchym
Page 225 and 226:
#14 COMMUNITY HEALTH CARE GENERAL C
Page 227 and 228:
Page 229 and 230:
www.ihi.org/ihi Crossing the Qualit
Page 231 and 232:
5. Determining when to obtain consu
Page 233 and 234:
1. Participating in obtaining infor
Page 235 and 236:
November 27, 2003 Volume 8 Issue 24
Page 237 and 238:
PTU propylthiouracil Mistaken as me
Page 239 and 240:
Example of Inpatient History and Ph
Page 241 and 242:
changes, retention, incontinence; h
Page 243 and 244:
hemorrhage is usually caused by ero
Page 245 and 246:
completely avoid NSAIDs but still p
Page 247 and 248:
A: While the differential diagnosis
Page 249 and 250:
Problem #2: Hypertension S. No ches
Page 251 and 252:
CLINICAL SKILLS EXAMINATION (CSE) S
Page 253 and 254:
PAGERS/CELLULAR PHONES Cellular pho
Page 255 and 256:
JOHN DOE -- PATIENT NOTE EXAMINEE I
Page 257 and 258:
MEDICINE General Principles 1%-5% O
Page 259 and 260:
8. A 20-year-old African American w
Page 261 and 262:
19. A 32-year-old man comes to the
Page 263:
Answer Key for Medicine Subject Tes
show all

clerkship handbook - University of Hawaii â Department of Medicine

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?

clerkship handbook - University of Hawaii â Department of Medicine