Internal Medicine

  • Outpatient Clerkship Goals and Objectives

    Professionalism

    The student will demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to a diverse patient population.

    Objectives:

    1. Demonstrates a commitment to following the bioethical principles of the medical profession:  autonomy, beneficence, nonmaleficence, truth-telling and confidentiality.
    2. Demonstrates a commitment to personal excellence (timeliness, attitude, initiative) and professional development (initiative, self-reflection, and seeking constructive feedback).
    3. Demonstrate sensitivity and competence in working with others of diverse backgrounds, anticipating the influence of culture on illness and health decisions.
    4. Demonstrates honesty and integrity in accurately conveying information and in documentation.
    5. Demonstrates teamwork and respect toward all members of the healthcare team.

    Patient Care

    The student will provide patient care that is compassionate, appropriate and effective when evaluating and managing adult patients in the outpatient setting.

    Objectives:

    1. Obtains, records, and communicates an accurate history and physical exam appropriately using a comprehensive or focused approach.
    2. Utilizes supplemental laboratory and diagnostic studies to support the most likely diagnoses.
    3. Interprets and synthesizes the clinical information in developing a diagnostic and therapeutic management plan.
    4. Demonstrates a commitment to involve the patient in their own care.
    5. Communicates effectively and demonstrates caring and respectful behaviors when interacting with patients and their families.
    6. Works with healthcare professionals to provide patient-focused care.

    Medical Knowledge

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

    Objectives:

    1. Defines, describes and discusses the following diseases/clinical presentations:
      • Health Patients
        • Health promotion
         
      • Patients with a symptom, sign or lab abnormality
        • Abdominal pain
        •  Back pain
        •  Cough
        • Dyspnea
        • Gastrointestinal bleeding
        • Nutrition
        • Obesity
        • Rheumatologic problems/knee pain
         
      • Patients with a known disease
        • Chronic renal failure
        • COPD
        • Diabetes mellitus
        • Dyslipidemia
        • Heart failure
        • HIV infection
        • Hypertension
        • Smoking cessation
        • Substance abuse
        • Common cancers (lung, colon, breast)
         
       
    2. Integrates and applies the basic and clinical sciences to the understanding of clinical problems in the ambulatory setting.

    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 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.

    Interpersonal and Communication Skills

    The student will demonstrate 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. Communicates accurate, complete and organized oral presentations of patients’ problems.

     

    Systems-based Practice

    The student will develop an understanding of how health care is delivered in the ambulatory 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 for the implementation of treatment plans.
    3. Advocates for quality patient care and assists patients in dealing with the system’s complexities.
    4. Practices cost-effective health care and resource allocation that does not compromise quality of care.