Internal Medicine

  • Inpatient Clerkship Goals and Objectives

    Professionalism

    The student will demonstrate commitment to scholarly excellence with continued self-assessment and growth of knowledge and skills, and dedication to patient care treating others with mutual respect and dignity.

        Objectives:

    1. Demonstrates a commitment to personal excellence (timeliness, attitude, initiative) and professional development (initiative, self-reflection, and seeking constructive feedback).
    2. Demonstrate sensitivity and competence in working with others of diverse backgrounds, anticipating the influence of culture on illness and health decisions.
    3. Demonstrates honesty and integrity in accurately conveying information and in documentation.

    Patient Care

    The student will be able to evaluate and manage adults hospitalized with acute illness and convey this information facilely on patient care rounds.

        Objectives:

    1. Obtains, records, and communicates an accurate history and physical exam.
    2. Utilizes supplemental laboratory and diagnostic studies to support the most likely diagnoses.
    3. Interprets the clinical information by prioritizing a problem list
    4. Begins to demonstrate reasoned therapeutic decision-making for basic core problems.
    5. Presents patients in the context of daily care rounds (abbreviated presentations) and new patient presentations (comprehensive).
    6. Documents clear and accurate admission and progress notes on each patient.

    Medical Knowledge

    The student will demonstrate understanding of the clinical presentation, basic physiology, evaluation, and management of diseases frequently encountered in the inpatient internal medicine setting.

        Objectives:

    1. Initiates an assessment and management plan on the following diseases/clinical presentations:
      • Acute myocardial infarction/coronary syndrome
      • Heart failure
      • Acute kidney injury
      • Chronic kidney disease
      • Altered mental status (delirium)
      • Dyspnea
      • Fever
      • Fluids and electrolytes
        • hyper/hypokalemia
        • hyper/hyponatremia
        • basics of fluid management
         
      • Gastrointestinal bleeding
      • Liver disease
      • Nosocomial infection
      • Pneumonia
      • Venous thromboembolism/pulmonary embolism
       
    2. Demonstrates a basic approach to interpretation of EKGs, CXRs, and acid-base problems.
    3. Demonstrates an understanding of the indications, techniques, and complications of basic procedures.

    Practice-based Learning and Improvement

    The student will develop life-long learning skills used for improving patient care and fostering continued professional growth and development.

        Objectives:

    1. Based on a self-assessment, creates a set of personal goals for the clerkship and reflects on personal progress, modifying as necessary.
    2. Demonstrates an initiative in seeking and applying new knowledge in the clinical setting.
    3. Applies an evidence-based medicine approach to addressing questions that arise in the clinical setting.
    4. Develops a reading/study plan that will work in the clinical setting.
    5. Responds to constructive feedback and suggestions for improvement over the course of the clerkship.

    Interpersonal and Communication Skills

    The student will continue to develop effective interpersonal and communication skills needed to establish and maintain professional relationships with patients, families, colleagues and other members of the health care team.

        Objectives:

    1. Speaks with patients and their families using terminology that they understand.
    2. Exhibits communication that is compassionate and sensitive when interacting with people from a variety of cultures and backgrounds.
    3. Communicates in a facilitative, effective and efficient manner with members of the health care team.
    4. Educates colleagues as appropriate.
    5. Provides accurate and complete verbal presentations for assigned patients.
    6. Develops well organized and accurate patient notes.

    Systems-based Practice

    The student will develop an understanding of how health care is delivered in a hospital setting as well as resources available and the limitations encountered when caring for patients.

        Objectives:

    1. Works as an effective member of the health care team, demonstrating reliability, initiative, organization, and helpfulness.
    2. Gains an understanding of interdisciplinary coordination and planning required when transitioning patients from the inpatient to outpatient setting.
    3.  Acts as the patient’s advocate.