Inpatient Internal Medicine Goals and Objectives

GOALS

1. Assess patients admitted to an Inpatient Medical Service

a. Competency: Medical Knowledge

i. Objectives

1. Understand the principles of diagnosis and management of important medical diseases including but not limited to the following:

a. Chest Pain

b. COPD

c. Congestive Heart Failure

d. Ischemic Heart Disease (includes Myocardial Infarction)

e. Fluid/Electrolyte and Acid-Base Disorders

f. Anemia

g. Diabetes

h. Renal Insufficiency/Failure (Chronic Kidney Disease)

i. Hypertension

j. Substance Abuse

k. Smoking Cessation

l. Abdominal Pain

m. Altered Mental Status

i. EVALUATION METHODS: USMLE Subject Examination, Daily rounds with faculty attending and residents, completion of Patient Logbooks

2. Understand the pathophysiology of important medical diseases (above)

a. EVALUATION METHODS: USMLE Subject Examination, Daily rounds with faculty attending and residents.

b. Competency: Patient Care

i. Objectives

1. Communicate with patients, family and co-workers

2. Conduct the medical interview and obtain a medical history

3. Perform an appropriate physical examination

4. Accurately collect data related to patient care

5. Demonstrate effective clinical reasoning and judgment

a. EVALUATION METHODS: Daily rounds with faculty attending and residents, Observed Physical Examination exercise

c. Competency: Professionalism

i. Objectives

1. Demonstrate concern for the patient and patient’s family

2. Demonstrate respect, compassion and integrity in the care of patients

a. EVALUATION METHODS: Daily rounds with faculty attending and residents

2. Care for patients as part of an Inpatient Medical Team

a. Competency: Patient Care

i. Objectives:

1. Communicate with patients, family and co-workers

2. Accurately collect data related to patient care

a. EVALUATION METHODS: Daily rounds with faculty attending and residents

b. Competency: Interpersonal Skills

i. Objectives:

1. Function as a member of the healthcare team

2. Demonstrate reliability and dependability

3. Be willing to assume responsibility for the care of the patient appropriate to level of training and duties assigned

a. EVALUATION METHODS: Daily rounds with faculty attending and residents.

3. Utilize Evidence Based Medicine in care of patients

a. Competency: Practice-based learning and improvement

i. Objectives

1. Recognize and formulate a rational clinical question based upon interaction with a patient

2. Integrate the evidence from the medical literature into the care of the patient

a. EVALUATION METHODS: Daily rounds with faculty attending and residents, Student Grand Rounds Presentation

b. Competency: Medical Knowledge

i. Objectives

1. Conduct an appropriate bibliographic search

2. Demonstrate critical appraisal ability based on the Users’ Guides to the Medical Literature

a. EVALUATION METHODS: Student Grand Rounds Presentation, USMLE Subject Examination

4. Interpret EKGs appropriate for level of training

a. Competency: Patient Care

i. Objectives

1. Accuracy of data collection

2. Demonstrates effective clinical reasoning and judgment

b. Competency: Medical Knowledge

i. Objective

1. Demonstrate knowledge of EKG interpretation

a. EVALUATION METHODS: EKG Quiz, Daily rounds with faculty attending and resident, USMLE Subject Examination

5. Demonstrate professional behaviour

a. Competency: Professionalism

i. Objectives

1. Demonstrate professionalism by attendance of rounds, lectures and conferences outlined in the syllabus

2. Demonstrate enthusiasm and effort during the clerkship

3. Demonstrate interest in learning to become a good clinician and in continuing to improve clinical knowledge and skills

a. EVALUATION METHODS: Daily rounds with faculty attending and residents, Attendance logs from lectures and conferences.