Internal Medicine -- Gastroenterology - Arizona

Description:

This clerkship is primarily a hospital-based experience. In the morning, students attend daily teaching rounds with the hospital staff consultant. In the afternoon, students see hospital consultations in conjunction with the hospital staff person. Opportunities are provided for students to see the consultation and formulate their impressions and plan prior to the hospital staff consultation.

Specific Goals:

1. The student will be exposed to a variety of common and some uncommon gastrointestinal disorders, both through evaluation of the patient and through observation of endoscopy.
2. The student will improve history and physical examination skills as they pertain to patients with gastrointestinal disorders.
3. The student will gain some preliminary experience in managing GI disorders and, in particular, the use of endoscopic intervention for diagnosis and treatment of GI disorders.
4. The student will be offered the opportunity to assist in management of gastrointestinal emergencies, such as gastrointestinal bleeding and food impaction, through a limited call experience.

Activity Outline:

Several different conferences are available for didactive teaching. GI pathology will be reviewed monthly at a pathologic conference with a pathologist present. Interesting cases will be presented monthly at a GI case conference, supervised by a GI consultant. Medical/surgical conferences are offered to focus upon the overlap between medical and surgical problems once monthly, with both GI and surgical consultants present. Finally, Mayo Clinic Scottsdale offers weekly clinical pathological conferences (CPC). Monthly CPC-conferences are available through teleconference from Mayo Clinic Rochester.

Students will be offered the opportunity to assist in emergent cases throughout the elective at their discretion. Formally, they will be required to be available two evenings per week.

Method of Evaluation:

The gastrointestinal consultants who supervise the student's work at the hospital will offer constructive criticism and appraisal of performance to the student.