Yearly clerkship information Deepti Rao Mary Lacy 2018

Yearly clerkship information Deepti Rao Mary Lacy 2018

Objectives • After this presentation you should know: – Where to look for information about the third and fourth year clerkships

Phase 2 Third year

Objectives After this clerkship you should be able to: • Collect a hypothesis driven history and physical • Form an assessment statement • Organize a problem list • Formulate a differential diagnosis and defend • Present in an organized manner • Gain knowledge in 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

Gain knowledge in very basic internal medicine problems (Clerkship sheet) Subject Lecture Quiz topic Heavy Clinical Exposure Chest pain/cardiac physical exam x x Shortness of breath/pulmonary physical exam x x Abdominal pain/liver tests/abdominal and cirrhosis pe x x Renal failure x x Diabetes management x Acid base x Electrolyte abnormalities x Hypo/hypertension Fever/cbc/atb x Altered mental status Palliative care x x x

Overall Clerkship View • Wards (7 weeks)* • Palliative(1 weeks)* • Attend scheduled activities* • Complete Clerkship Task List/Passport • (or its not complicated) If you are not sure what you should be doing check with your team and your schedule check with one of us!!!!!!!

Monday Tuesday Wedn VA Onservice VA Thursda Sat Sun On-service Day off/SEE Onservice Student will spend 4 weeks on inpatient VA/4 weeks inpatient UNM Onservice Palliative Day off/SEE They will be pulled off 1 week either VA or UNM for palliative care— starting on Wednesday Day off/SEE On-service Onservice Day off/SEE Otherwise 1 day off per week except last week at each location VA Onservice Day off/SEE Students will get last 3 weekdays off at each location UNM Onservice On-service Day off/SEE Onservice UNM Onservice On-service On-service Onservice Day off/SEE UNM Onservice Day off/SEE Palliative Day off/SEE Friday Palliative Day off/SEE Shelf and end Note no change in one day off per week, Tuesday afternoon off, Thursday afternoon off (not if day call/on call) 16 DAYS OFF TOTAL!!!!

Other interesting facts • Students should be following 3 -5 patients • Passport – Histories – LCME patient types, procedures and clinical skills • Let me know if you’d like to know more? • Days off – 1 day off per week/80 hours work week – Tuesday after their lecture – Thursday afternoon unless the team is on call/day call • 2 -3 continuity clinics • Students see their evaluations although removing names

Developmental levels: Reporter- “What is happening? ” Interpreter- “Why is it happening? ” Manager- “What next? ” Educator- “Where are the knowledge gaps? ”

PRIME Professional: honesty, integrity, reliability Reporter: collects / communicates data Interpreter: explains / prioritizes data Manager: selects Dx and Rx options Educator: teaches self, patients, others

UNM SOM Curriculum Matrix REPORTER I-1 I-2 II III PGY 1 N P M M N P M PGY 2/3 Fellowship INTERPRETER M* MANAGER N P EDUCATOR N = Novice (introduced in the curriculum) P = proficient (repetition, Practiced) M = mastered, sufficient mastery for next level of Independence. M* = uncommon, complex situations and procedures M M*

Changes to the form

What if I want to see this again: • Attendings: Hospitalist Wiki—medical student related material – Also has duty hours policy, supervision policy, mistreatment policy, clinical re-assignment policy • Residents: New Innovations

If you would like to see the UNM SOM competencies and objectives • Som. unm. edu – MD Program • UME – Competencies and Objectives

Entering class data • GPA 3. 75 • MCAT 30/506