IU School of Medicine

Elective Title: 49MI714 — GENERAL MEDICINE (SERVICE - INPATIENT)

Description:

This inpatient rotation offers students the opportunity to provide hands on care for patients admitted directly to the IUH Methodist Hospitalist and patients whose specialty medical or surgical care is complicated by comorbidities generally managed by Hospitalists. Patients comprise the entire socioeconomic spectrum in the Midwest and have a broad range of medical problems, such as congestive heart failure, diabetes mellitus, acute coronary syndromes, cardiac arrhythmias, syncope, malignant hypertension, GI bleeding, pneumonia, COPD, pulmonary emboli, sepsis, pyelonephritis, acute mental status change, TIA/stroke, acute and chronic renal failure. The preceptorial approach for teaching ensures direct, continuous interaction with faculty for each student. Students will provide patient care in a multidisciplinary care model that includes nurse, pharmacists, care managers, social workers, nutritionists, physical, occupational, speech and respiratory therapists, Geriatrics and Palliative Care. The experience will foster collegial relationships with physicians from other specialties and other caregivers in a nurturing, real world environment. The student may be assigned four to six patients to co-manage with the attending Hospitalist. An Internal Medicine resident and/or Transitional Year intern may be part of the team, and, if present, will augment the learning experience for the student. Students will b expected to attend, teaching conferences that include case presentations, journal clubs, EKG reading and chest conferences. At the completion of the rotation, a student should be able to logically approach patient evaluation, construct an evidence-based management plan and communicate that plan to patients and fellow caregivers. The overarching goal of this rotation is to learn the basics of inpatient medicine and to develop an understanding of how a busy hospitalist team functions

Elective Details:

Primary Contact for Add/Drops: Denise Monday (Dmonday@iuhealth.org)

Director: Allyson Thomas, M.D.

Campus: Indianapolis

Location: IU Health Methodist Hospital (Indianapolis)

Other Faculty: Medicine Resident Staff

Learning Objectives

  • 1) Patient Care: a) Care for hospitalized patients under the direct supervision of your attending Hospitalist. Responsibility awarded to you will depend on your own initiative, ability and training. (PC1)
  • b) Display prompt and complete attention to all patient care needs including diagnosis, treatment, and the performance of medical procedures (within the scope of your training). You will be responsible for the initial histories, physicals, orders and all subsequent care of the patient. (PC1)
  • 2) Medical Knowledge: The medical knowledge gained from this rotation will reflect the breadth of hospital medicine (MK4)
  • 3) Practice-Based Learning and Improvement: a) Attend case conferences, journal clubs and other didactics (P2)
  • b) Present literature-based evidence for their opinions (PBLI1)
  • 4) Professionalism: a) Interact with a variety of allied health and mid level practitioners. We expect professionalism, courtesy and respect in all your interactions, each time, every time. (P2)
  • b) Show respect to the patient and their families and be cognizant of different cultural contexts. (P2)
  • 5) Interpersonal and Communication Skills a) Communicate with discharge planners, consultants and families in a respectful and efficient manner. You will be responsible for vital handoff information for your patients (ISC3)
  • b) Employ an interpreter when necessary (ISC3)
  • 6) Systems -Based Practice: a) Advocate for the safe transitioning of patients within the hospital, and from the hospital to the community (SBP4)
  • b) Be mindful of the efficient use of hospital and healthcare resources (SBP5)

Assessment

  • Clinical Performance Evaluation Form; (The methods utilized to assess whether or not the learning objectives have been met can include: observation, oral presentations, case presentations, evaluation of written assessments, and discussion with faculty. These assessments will be completed by the attending Hospitalist(s) on the team to which the student is assigned).

Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:

JuneJulyAugSeptOctNovDecJanFebMarAprMay
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Duty Hours: 50

Time Distribution: 90% Clinical; 10% Library

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Students interested in enrolling should contact the medicine coordinator. Any student wanting to drop or add this elective after the initial computer scheduling should contact Denise Monday at 317-962-8116 or DMonday@iuhealth.org. This course may be dropped or added up to the 15th day of the month preceding the elective month. Successful completion of this elective WILL NOT SATISFY THE MEDICINE SUB-I REQUIREMENT.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: While not necessarily intentional, there usually are opportunities for students to work collaboratively with practitioners from other health professions (e.g. Nursing, Pharmacy, Physical Therapy, Social work, etc.) during this elective

Service Learning Included: None