SELECT SOMDA - Outpatient Medical Specialties

Primary Goals of Selective:

To provide a comprehensive experience in evaluating and managing  patients in the outpatient subspecialty setting.

Specific Objectives:

1.        Students will complete and document in Epic the history and physical exam of each patient assigned to them in subspecialty clinic.

2.        Students will perform a problem focused history and physical on each assigned patient and present it to their subspecialty attending.

3.        Students will read about the conditions pertaining to their patients and present to the attending physician the pathophysiology, diagnosis, and treatment plans.

4.        Students will attend the subspecialty clinics each weekday as assigned as documented by a sign-n sheet.

5.        Students will attend Medicine Grand Rounds each week as documented by a sign-in sheet

6.        Students will participate in an Evidence Based Medicine conference which will consist of reading two articles as assigned by the attending and complete Evidence Based worksheets for each.

Attendance:

Students must be present every weekday.  Students are allowed one excused absence for interviews during the two week rotation.  This excused absence must be approved by the attending physician.  Any additional absences must be approved by the attending physician and course director and must be made up before the semester is completed.  Documentation of such interviews must be provided to the course director.  Students will receive an incomplete until such absences have been made up.  Make-up days are at the discretion of the Course Director.

Resources for Learning:

The student is expected to use general reference material such as Harrison’s Principles of Internal Medicine and specialty texts to achieve a basic understanding of their patients’ diseases and their practical management. Some clinics will provide clinic-specific reference materials for study. The resources for the fellows, residents, attending physician and consulting physicians should be used routinely to supplement the student’s reading, as well as recourse to journal articles and internet resources as needed.

Participating Faculty:  Course director, LSUHSC Medicine Subspecialty physicians

Texts:  Harrison’s Principles of Internal Medicine

Hands-on Experience:  Supervised evaluation and management of patients in the outpatient setting

Self-Directed Learning:  Focused review of topics directly related to the management of patients seen using the library and online resources.

Evaluation:

Students will receive an informal formative evaluation from the Course Director at the end of the first week of the rotation.  Students will receive a summative evaluation in MyEvaluations by the Course Director using a compilation of evaluations completed by each Subspecialty attending physician.