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Medical student education

Page history last edited by Laurie Flores 3 months ago

MEDICAL STUDENT RELATED MATERIAL

Link to the Medical Student Curriculum (which guides Phase II lecture series)

 

Primer to the Internal Medicine Clerkship, Second EditionPDF | Word

internal Medicine Subintership Curriculum PDF | Word

(taken from AAIM Resources - Publications, last accessed 03/18/2019, previous link at http://www.im.org/toolbox/curriculum/coremedicineclerkshipcurriculum/Pages/default.aspx now defunct)

Online H&P Form for Students: Online H&P Form for Students.docx

 

Evaluations:

Important Notes on Clerkship Evaluations.docx

 

STUDENT GRADING FORM

PRIME Grading Form.pdf

Tips for checking boxes.docx

 

YEARLY OVERVIEW OF CLERKSHIP 2018

Yearly orientation to clerkship.2018 (2) (1).pptx

 

 

CLERKSHIP OBJECTIVES

After this clerkship you should be able to:

 

Collect a hypothesis driven history and physical   

Form an assessment statement   

Organize a problem list  

  Form ulate a differential diagnosis and defend

Present in an organized manner 

Gain knowledgein common internal medicine problems 

Communicate, educate and advocate effectively with patients and health care team   

Display professional behavior   

Demonstrate a commitment to lifelong learning  , EBM 

Record emotional reactions

 

 The Role of Medical Students on the Internal Medicine Wards

 

The curriculum and expectations for medical students at the UNM School of Medicine may be different from what you experienced during your training.  We want to clarify what is expected of the third year medical students on medicine wards.

 

First, a note about UNM vocabulary:

·         Phase 1 students are in their first two years of medical school

·         Phase 2 students are in their third year

·         Phase 3 students are in their fourth year

 

Phase 2 Students

Expectations:

  • The Phase 2 Medicine clerkship (the third year clerkship) is currently a 8 week-long rotation divided between the University (4 weeks inpatient) and the VA (3 weeks inpatient, 1 week palliative care).
  • The students should be an integral part of the medicine team
  • The students should admit 1-2 patients per call day
    • Students do not spend the night in the hospital 
    • They are expected to write a history and physical for their attending and to present the patient on call rounds.  The H&P is to be turned in to the attending within 24 hours of the admission.  This H&P, however, does not become part of the medical record.
  • Students follow 3-5 patients daily
  • Students pre-round on their patients
  • Students write 2 notes per day
    • They write 1 daily note under the note type "Medical Student Note" that needs to be reviewed by a house officer or attending.  Residents may not put "agree with the above" to the medical student's note in place of his or her own note
    • They write another note that is used for the purposes of coding and billing

 

  • Phase II students do not dictate discharge summaries

 

Schedule:

  • Work week no more than 80 hours/week
  • Students have several required learning sessions and clinics scheduled during their clerkship:
    • Didactic sessions, every Tuesday, 1:00 to 4:00 pm, protected study time afterwards
    • Doctoring 6 which occurs every other month on a Thursday
    • Specialty Exploration Experience (SEE, formerly known as "Continuity Clinic") 14 half days per year
    • Protected study time Thursday afternoons (except for day call--no makeup time for this day) 
  • Shelf board, the last Friday of the 8 week rotation.  
    • Objective Standardized Clinical Exam (or OSCE) – taken by all Phase 2 students once every 16 weeks.  Students are notified of the relevant date if they are on wards.  Students do not come to work this day and should be allowed to leave the hospital by 5pm the night before the exam, even if scheduled to be on-call. This does not count as their day off as they are in exams all day.
  • Days off:
    • Students should be given one day off/week during weeks 1 to 3 and weeks 4 to 7 of the rotation.
    • They have the weekend off between their 4 weeks at the University and their four weeks at the VA, as well as the weekend off at the end of the 8 week block.  They also have several scheduled days off during the fourth week and eighth week of the clerkship.
    • Days off should ideally be taken on a weekend day to minimize absences from teaching sessions
    • Holidays are treated as weekends – students are expected to be there unless this is one of their scheduled days off

 

House staff responsibility for students:

·         Welcome students as a member of your team

·         Teach when you have a chance, listen and critique their presentations, review their notes

·         Give feedback to the students that is timely, behavior-based, and specific

·         Sign off on student logbooks/passports when you observe them doing one of the required activities such as ABG interpretation, examining a patient with CHF or liver disease, etc.

     For attendings, it may be useful to review what is included in their log books and schedule some teaching or time for reviewing some of the topic

 

Clinical Supervision policy

Clinical Supervision of Students-DDedit.docx

Duty Hours Policy

Duty Hours Policy.docx

Student Mistreatment Policy

Student Mistreatment Policy Final 2017.pdf

Reassignment Policy Policy

Clinical Re-assignment Policy.pdf

 

 

Phase 3 Students

Scheduling Commitments

  • Sub-interns have orientation and will join team rounds on Day 1
  • Sub-interns will go to Intern Orientation
  • Sub-interns should be excused for Dragon training  (typically first week)
  • Afternoon report with the team is mandatory
  • High value care curriculum sessions are mandatory, only given within high-volume blocks (~1 hr/week)
  • Thursday school is optional (the sub-intern can use this time to work one-on-one with their attending if he/she chooses, NOT off)
  • BATCAVE is optional but encouraged if happening on "protected" Wednesday
  • 1 day off/week, rotation extends through Sunday of final weekend

Patient numbers

  • No definitive expectations
  • We suggest they start with 2 patients and get to 4 patients by end of first week
  • We recommend discussion with the attending and resident prior to going above 5 patients
  • We recommend against having the sub-intern see the same patients as the Phase II students (ok to cover day off)

Pagers

  • Sub-interns are encouraged to answer team pager starting in the 2nd week
  • Sub-interns should clearly introduce themselves as students and run all questions/decisions by residents
  • No Pager during pre-rounds or when intern/resident are immediately available (i.e. if resident leaves for the day and sub-intern still working on notes, they should not be carrying a pager)

Documentation:

  • See separate documentation section on main page 

Orders

  • Sub-interns can/should write orders, these must be co-signed by an MD (intern, resident, attending)
  • The sub-intern should ensure all orders they write are co-signed at an appropriate time
  • The sub-intern CANNOT discontinue orders or complete medication reconciliation due to powerchart restrictions

 

Sub-intern info PDF

 

If you have questions or comments about the students on your ward teams, please contact the Office of Undergraduate Medical Education:

·         Patrick Rendon, MD - Clerkship Director - pager 380-1564

·         Mary Lacy, MD - Associate Clerkship Director - pager 380-2647

·         Paula Popp - Clerkship Administrator - phone 272-6617

 

FAQs on Mental and Physical Health Care during Medical School - 82818 FINAL.pdf

 

 

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