Internal Medicine, Gastroenterology Inpatient (Minnesota)

Description

Students are responsible for working as clinical clerks on the gastroenterology services. They admit patients and follow them under the guidance of an internal medicine (IM) resident and consultant in gastroenterology (GI). Students work up six cases per week with the resident on call. They take in-hospital call every fourth night. Procedures are performed as appropriate.

Specific goals

  1. Gain knowledge of and experience with internal medicine and digestive diseases
  2. Refine skills related to history taking and physical examination
  3. Learn a problem-oriented approach for histories, physical examinations and progress notes (as used in the hospital setting)
  4. Plan necessary laboratory tests
  5. Plan treatment and long-term care; write orders (countersigned by resident)

Activity outline

In the morning, students in gastroenterology pre-round on their patients prior to the scheduled morning conferences in clinical gastroenterology. They also round with the team on formal patient rounds and attend the daily late morning teaching session.

In the afternoon, students may work up selected new admissions to the hospital on the GI service under the supervision of the resident. Time also may be available for computer literature searches and library reference work on diseases relating to patients seen on the service.

Daily schedule: Monday through Friday

Time Activity
Weekend schedule are discussed with the consultant and team.
8 to 8:30 a.m. Morning teaching session
8:30 to 10:30 a.m. Team rounds
10:30 to noon Patient care
Noon to 1:00 p.m. Conference (follow IM resident conference schedule)
1 to 3 p.m. Patient care
3 to 4 p.m. Afternoon team rounds (time will vary based on consultant schedule)
4 to 6 p.m. Patient care

Method of evaluation

Consultants on each service, with input from all of the internal medicine residents who work with students, submit written performance evaluations. Performance is discussed with students at the end of the rotation.

March 16, 2017