Internal Medicine Consult Service (UCAPS)

ELEC511 / PMDN 617

Department
Internal Medicine

Clinical or Non-Clinical Course
Clinical

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Clerkships

Goal
This is a two-week rotation aimed for medical students interested in consultative medicine, bedside procedures, and point-of- care ultrasound used diagnostically and procedurally. It will give students the opportunity to be part of a team functioning as medical and perioperative medicine consultants. Students will also have the opportunity to practice consultative inpatient general medicine, procedural skills, and point-of-care ultrasound (POCUS) techniques to complement their bedside physical exam skills. Education will occur with bedside teaching, case discussions, simulation lab, online modules, and didactics. The student will have the ability to gain hands-on experience helping with and potentially performing procedures in the JUMP simulation lab and medical ward.

Objectives
At the end of this course, the student will be able to:

  1. Effectively communicate and collaborate with the referring primary services to best address the needs of the patients.
  2. Evaluate and manage common consultative medicine topics include but are not limited to diabetes mellitus, VTE, hypertension, acute renal failure, fever, atrial fibrillation, decompensated heart failure, chest pain, shortness of breath.
  3. Become proficient in assessing and managing patients in perioperative period in cooperation with surgical and non-internal medicine specialties.
  4. Perform a pulmonary perioperative risk assessment and discuss strategies to reduce risk of pulmonary perioperative risks.
  5. Perform a cardiac perioperative risk assessment for patient undergoing non-cardiac surgery and strategies to reduce risk of perioperative cardiac events.
  6. Describe medication management, antiplatelet therapy, and bridging of anticoagulation in the perioperative period.
  7. Perform perioperative evaluation and management of endocrine diseases (diabetes mellitus, thyroid disease, adrenal insufficiency).
  8. Perform perioperative evaluation and management of patients with kidney disease.
  9. Perform perioperative evaluation and management of patients with liver disease.
  10. Demonstrate improved competency in point-of-care ultrasound through interpretation, acquisition, or integration of ultrasound images.
  11. Understand clinical indications and contraindications for central venous line placement, peripheral IV placement, arterial lines, paracentesis, thoracentesis, lumbar puncture, joint injection/aspiration, NG tube placement, peripheral venous line placement.

Method of Assessment

  • Standard Clinical 2wk Elective Evaluation - Satisfactory/Unsatisfactory

Course Director
Annia Martial, MD & Donald Yang, MD

Course Coordinator
Ashley Finney
afinney@uic.edu
309-840-7268

Location
SFMC

Setting
Inpatient

Night Call
No

Laboratory
No

Weekends
No

House Staff
Yes

Number of Learners per Block
1

Duration
2 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
All except fall and winter break.