IU School of Medicine

Elective Title: 93MG710 — INPATIENT HEPATOLOGY

Description:

This elective is designed to provide a concentrated exposure at a medical student level in clinical hepatology, while building on core training in patient care and communication skills. Each student will act as a physician on an inpatient care team under the daily supervision of a staff member. He/she will have the opportunity to observe endoscopic procedures relevant to his/her patients' care. Attendance of our regularly scheduled Division clinical conferences and the liver transplant conference will enhance the learning experience. Students will practice applying clinical care guidelines to patients, and they will present a clinical case from the month in oral and written form.

Elective Details:

Primary Contact for Add/Drops: Christen Dilly, MD (cklochan@iu.edu)

Director: Christine Dilly, M.D., MEHP

Campus: Indianapolis

Location: IU Health University Hospital (Indianapolis)

Other Faculty: Transplant hepatology faculty: Marwan Ghabril, Marco Lacerda, Samer Gawrieh, Craig Lammert, Suthat Liangpunsakul, Howard Masuoka, Eric Orman, Raj Vuppalanchi, Margaret Sozio, John Holden, Lauren Nephew, Niharika Samala

Learning Objectives

  • 1. Take a history and perform a physical exam focused on the clinical diagnosis of hepatology disorders, sufficiently well to state the presenting problem and generate a differential diagnosis including at least three items (PC1)
  • 2. Identify his/her learning needs related to hepatology knowledge and meet them using reliable resources (PBLI1)
  • 3. Describe to a patient and discuss the general risks and benefits of colonoscopy, esophagogastroduodenoscopy, paracentesis and liver biopsy (ISC4)
  • 4. Communicate a diagnosis and plan to a patient well enough for the patient to express his understanding to another team member (PC2)
  • 5. Apply clinical guidelines to patient care, taking into consideration each patient's unique characteristics (PC3)
  • 6. Present a case in oral and written form, identifying a clinical question/problem and reviewing the topic and/or evidence base (as described in the assignment details) sufficiently well to achieve a rating of 'meets expectations' by supervising staff (MK5)
  • 7. Write a consultation note and a progress note of sufficient quality to achieve a rating of 'meets expectations' by supervising staff (see rubric)(ISC5)

Assessment

  • Clinical Performance Evaluation Form; ( Faculty assessment of the medical student - This will be completed by faculty members who work with the student for at least eight business days, using a rubric to guide their evaluation. Dr. Dilly will compile the responses and submit a final evaluation. Components of this evaluation will include communication with patients, written notes, oral presentations, clinical reasoning, educational initiative, patient care responsibility, application of knowledge base.The ability of the student to apply clinical guidleines, the final oral and written case presentation, and a written progress note and admission H&P will all be assessed by the course director using a rubric).

Enrollment Information

Prerequisites: 4th year; Clerkship prerequisite: Internal Medicine

Availability with Max Students per Month:

JuneJulyAugSeptOctNovDecJanFebMarAprMay
111111111111

Duty Hours: 55

Time Distribution: 90% Clinical; 10% Lecture/Seminar

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Christen Dilly, MD (cklochan@iu.edu)

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: A pharmacist rounds with the team. Also, the nurse transplant coordinators are very involved with our patient care.

Service Learning Included: None