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Internal Medicine

Internal Medicine covers a variety of specialties. Students are exposed to nephrology, hematology, oncology, cardiology, pulmonology and rheumatology. Students spend time in an inpatient setting and an ambulatory setting. Four weeks of the clerkship are spent rotating with a preceptor in a local hospital. The other four weeks are spent in the office of a physician of a specific discipline. This clerkship provides a foundation for the comprehensive health care of adults. 

Includes: GI, Cardiology, Endocrinology, Pulmonology, Hematology/Oncology, Nephrology 

Students attend a weekly Academic Half Day with MCG students in Augusta, Albany, Rome and Atlanta. At this time, students take an Individual Readiness Assurance Test (IRAT) followed by a Group Readiness Assurance Test (GRAT). 

Clerkship Duration: 8 Weeks (2 sites)

Site Clerkship Director: Molly Bond, M.D. (mbond@uga.edu)

Required Text: "Cecil's Essentials of Medicine 8th Edition." ISBN: 9781416061090  (You can check out a copy from the clerkship office - see Rachel McDaniel in Winnie Davis 210)

Grading:

  • Evidence Based Write Up: 2%
  • H&P 1: 2%
  • H&P 2: 2%
  • Clinical Evaluations: 54 % (27 % per block)
  • IRAT: 7 %
  • GRAT: 3 %

Requirements:

  • 2 write-ups a month, 4 total   (submitted to Dr. Bond)
  • 1 evidence based write-up (submitted to Dr. Bond)
  • SPEL Log
  • Observed Physical Exam: Heart and Lung
  • Academic Half Days 
  • Weekly Conferences   
  • Shelf Exam
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  • Competency Based Objectives

    Medical Knowledge

    Medical students are expected to master a foundation of clinical knowledge with integration of basic sciences and the translation of that knowledge to the clinical setting.

    1.1 Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels.

    • Demonstrate knowledge of normal and abnormal structure and function of the human body on the macroscopic, microscopic, and molecular levels as it relates to medicine.

    1.2 Identify the pathology and pathophysiology of various diseases and correlate them with clinical signs and symptoms.

    1.3 Demonstrate knowledge of both common or significant, acute and chronic clinical problems.

    • Diagnose common acute and chronic clinical problems in medicine.

    1.4 Differentiate between normal and abnormal development and age-related changes across the life span (e.g. end of life care). 

    1.5 Demonstrate comprehension of clinical interventions and agents including pharmaceutical, surgical, genetic, complementary and alternative medicines, and other therapies.

    1.6 Demonstrate knowledge and ability to interpret epidemiological and public health contributions to understanding health and disease.

    1.7 Demonstrate knowledge of preventive medicine and current guidelines for health promotion and disease screening (e.g. prostate care).

    Patient Care

    Medical students, as members of the healthcare team, are expected to provide patient and family centered care that is compassionate and effective for the promotion of health and the management of illness.

    2.1 Treat patients using a patient and family centered care approach.

    2.2 Obtain a complete and accurate medical history that covers essential aspects, also addressing issues related to age, gender, culture, use of complementary medicine, family dynamics and socioeconomic status.

    2.3 Perform both complete and symptom-focused physical examinations, including mental health status examination.

    2.4 Perform or participate in routine technical procedures. [procedures determined by core clerkships]

    2.5 Construct a differential diagnosis for common clinical presentations.

    • 2.5.1 Demonstrate effective identification and analysis of problems and effective inductive thinking when raising plausible hypotheses to explain these problems.
    • 2.5.2 Demonstrate sound judgment in making inferences about findings and synthesizing problems, and in deductive thinking when solving these problems
    • Participate in team development of a differential diagnosis and evaluation scheme for common problems in medicine.

    2.6 Identify and interpret the most useful clinical, laboratory, roentgenologic, and pathologic testing for common clinical presentations.

    • Participate in team review of clinical tests as part of planning.

    2.7 Construct appropriate and efficient therapeutic management and prevention strategies for patients with common conditions, both acute and chronic, including medical, psychiatric, and surgical conditions, and those requiring short- and long-term rehabilitation.

    • Work with a team to identify common clinical problems and outline an initial diagnostic and therapeutic plan.

    Practice-Based Learning

    Medical students are expected to investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their practice of medicine.

    3.1 Demonstrate genuine intellectual curiosity and desire to learn, focused inquisitiveness in asking questions, and enduring persistence in the pursuit of learning.

    3.2 Develop strategies for continuous individual improvement through monitoring performance, reflection, engaging in new learning, applying new learning, and monitoring impact of learning.

    • 3.2.1 Demonstrate critical awareness and reflective thinking when evaluating individual or team performance.
    • Complete a mid-rotation feedback form including goals for self-improvement.

    3.3 Accept constructive criticism and modify behavior based on feedback.

    3.4 Develop clinical questions related to patients’ problems and demonstrate skills to find evidence that is relevant and valid information to answer clinical questions using medical information technology.

    • Use appropriate resources to answer clinical questions.

    Communication

    Medical students are expected to demonstrate skills that result in effective communication and collaboration with patients, families, and professional associates

    4.1 Demonstrate the ability to establish a positive patient-doctor relationship based on mutual trust and respect for patients’ privacy, dignity, individual integrity and culture.

    4.2 Communicate with others in a respectful, professional and non-judgmental manner and demonstrate effective listening skills (e.g. maintaining eye contact, body posture, verbal and non-verbal facilitation skills).

    4.3 Demonstrate the ability to give a clear, concise, and organized oral presentation and written documentation of a history and physical exam with basic elements of assessment and a plan that addresses the psycho-social and biomedical needs of the patient for a focused or complete patient encounter.

    • Prepare a complete written summary of the history and physical and orally present the case in a focused and chronological manner.

    4.4 Conduct an interview with a limited English-speaking patient through appropriate use of an interpreter.

    4.5 Recognize barriers to effective communication and implement strategies to overcome these barriers (e.g. health literacy, vision/hearing impairment, disabled, pediatric, geriatric).

    4.6 Educate patients assuring their understanding on:

    • 4.6.1 Preventive strategies and promoting healthy behavior change, and
    • 4.6.2 Medical risk and benefits in medical decision-making (e.g. informed consent).
      • Demonstrate a basic understanding of surgical risks and benefits and strategies for discussing these with patients.

    Professionalism

    Medical students are expected to demonstrate professional behavior, commitment to ethical principles, and sensitivity to diverse patient populations.

    5.1 Demonstrate honesty, integrity, and ethical behavior in all interactions with patients and other health care professionals, including:

    • 5.1.1 Describing the importance of protecting patient privacy and identifying personal health information, including when and when not to share information, and
      • Required institutional HIPAA training and assessment.
    • 5.1.2 Identifying the ethical hazard and respond appropriately in situations such as:
      • Acceptance of Gifts
      • Collaboration with industry when courted to prescribe/use their products or being asked to practice beyond legal limits or personal comfort (e.g. when asked to provide medical care to friends or relatives; use of "doctor" title).

    5.2 Fulfill professional commitments in a timely and responsible manner.

    • Complete assignments in a timely manner including assigned patient logs, mid-rotation feedback form, end of clerkship evaluations, and notification of absences.

    5.3 Demonstrate respect for one’s self, including maintaining appropriate professional appearance, personal composure, and personal health.

    5.4 Recognize and address personal limitations, attributes or behaviors that might limit one’s effectiveness as a physician and seek help when needed. This would include:

    • 5.4.1 Describe personal responses to stress and employ appropriate stress reduction interventions as needed.

    5.5 Demonstrates sensitivity and responsiveness to a diverse patient population, including but not limited to diversity in gender, age, race, religion, disabilities and sexual orientation and investigate impact of those on clinical care and medical decisions.

    Systems-Based Practice

    Medical students are expected to develop an awareness of available health care system resources and demonstrate an ability to use them appropriately to provide optimal quality patient care.

    6.1 Demonstrate the ability to work within a multidisciplinary patient care team, with an understanding of the physicians’ role as team leader and the importance of ancillary staff.

    6.2 Examine medical errors and quality problems using a health systems approach and describe available methods to minimize them.

  • GMED 5000 Sites

    Athens Hospitalists Services
    1230 Baxter Street
    Athens, GA 3060
    Phone: 706-389-3410
    Contact: Meg Dukes
    Preceptor: Dr. Steve Berry

    University Cancer and Blood Center
    3320 Old Jefferson Rd. Bldg. 700
    Athens, GA 30607
    Phone: 706-353-2990
    Contact: Linda Love
    Preceptor: Dr. Marrano

    Georgia Cancer Specialists
    125 King Avenue
    2nd Floor, Suite 200
    Athens, GA 30606
    (706) 369-4478
     
    Georgia Renal Associates
    1500 Oglethorpe Ave, Ste 500C
    Athens, GA 30606
    Phone: (706) 546-7484
    Preceptor: Dr. Srilakshmi Rebala
     
    Infectious Disease Specialists of Athens
    700 Sunset Drive, Ste. 302
    Athens, GA 30606
    Phone: 706-559-4773
    Preceptor: Dr. Mark Visitacion
     
    Infectious Disease Consultants
    1270 Prince Ave., Ste. 301 
    Athens, GA 30606
    Phone:770-670-7245
    Preceptor: Dr. Roger Lovell
     
    Athens Gastroenterology Center
    21 Jefferson Place, Ste. 1
    Athens, GA 30601
    Phone: 706-548-0058
    Preceptor: Dr. Greg Smith

    Gastroenterology Associates of Athens
    740 Prince Ave. Ste, 15
    Athens, GA 30606
    Phone: 706-548-0008
    Contact: Lynn Nylander
    Preceptors: Drs. Kelly Grow, Bradley Shepherd, Michael West

    Athens Gastroenterology Association
    3320 Old Jefferson Rd. Bldg. 400
    Athens, GA 30607
    Phone: 706-613-1625
    Contact: Debbie Turman
    Preceptor: Dr. Jeff Williams

    Walton Pulmonary and Sleep Medicine
    101 Tara Commons Drive
    Loganville, GA 30052
    Phone: 678-635-8681
    Contact Natacha Etienne or Amy Finch
    Preceptor: Dr. Michael Jeannot
    [submit Barrow Regional Medical Center forms prior to rotation]

    Pulmonary and Sleep Medicine of Winder
    20 Satellite Drive Suite 200
    Winder, GA 30680
    Phone: 770-586-0300
    Contact: Carrie Warren
    Preceptor: Dr. Rami Arfoosh
    [submit Barrow Regional Medical Center forms and Clearview Medical Center forms prior to rotation]

    Athens Pulmonary and AP Sleep Management 
    3320 Old Jefferson Rd. Bldg. 200 Suite A
    Athens, GA 30607
    Phone: 706-549-5560
    Contact: Holly Epps
    Preceptors: Dr. Hugh Jenkins

    Northridge Medical Center
    70 Medical Center Drive
    Commerce, GA 30529
    Phone: 706-335-1167
    Contact: Linda Overbee

    Oconee Heart and Vascular Center
    The Exchange
    2470 Daniells Bridge Road, 
    Bldg. 200
    Athens, GA 30606
    Phone: 706-389-3440
    Contact: Lauren Allbritten
    Preceptor: Drs. Clay Chappell, John Layher, Steven Lowman, Charles Neckman, Harvey Ouzts, Amit Shah, Patrick Willis

    ARMC: Athens Cardiology Group
    700 Oglethorpe Ave. 
    Athens, GA 30606
    Phone: 706-546-8510
    Contact: Joann Baird
    Preceptors: Drs. James Miller, Jonathon Murrow, Ferdos Khan Pohlel, Benjamin Holland, Kent Nilsson

    Clearview Regional Medical Center
    2151 West Spring Street
    Monroe, GA 30655
    Phone: 706-389-3440
    Contact and Preceptor: Dr. Jeff Lamp
    [submit Clearview Medical Center forms prior to rotation]