Breadcrumb

Block A: Internal Medicine & Surgery

Block A is subdivided into three 6-week units transected by two transition weeks (weeks 7 and 14) and finished off by one 3-week “selective” unit (weeks 22, 23, 24).   


Block A Weekly Didactic Themes

The weekly didactics and themes are part of the UCR longitudinal learning program. Students will find that the Themes only coincide with their core subjects during the first six weeks. After that, the topics become random, and the subject matter may not correlate with what is being seen in the hospitals and clinics that week.

Week Core Didactic Themes that will appear in USMLE Step 2 and Shelf exams Weekly PBL Case
1-Internal Medicine rotation students Chest pain, CAD, arrhythmia, CHF Heart
1-Surgery rotation students Pre-op, Post-op, General Surgery Pre-Op
2-Internal Medicine rotation students Fluid & Elect disorders, acid base disorders, AKI, CKD Fluid and kidneys
2-Surgery rotation students Infection, Antibiotics, Fluid & Electrolytes, Liver, Bowel Abdominal pain
3-Internal Medicine rotation students Cough, COPD, Dyspnea, Asthma SOB/Cough
3-Surgery rotation students Burns, Tumors, Calculi, Shock, Trauma Care, General Surgery Trauma
4-Internal Medicine rotation students Chest pain, CAD, arrhythmia, CHF Heart
4-Surgery rotation students Pre-op, Post-op, General Surgery Pre-Op
5-Internal Medicine rotation students Fluid & Elect disorders, acid base disorders, AKI, CKD Fluid and Kidneys
5-Surgery rotation students Infection, Antibiotics, Fluid & Electrolytes, Liver, Bowel Abdominal Pain
6-Internal Medicine rotation students Cough, COPD, Dyspnea, Asthma SOB/Cough
6-Surgery rotation students Burns, Tumors, Calculi, Shock, Trauma Care, General Surgery Trauma
Week 7 OSCE & CBE or Inpatient Psychiatry Transition
Weeks 8 to 20: Students of IM & Surgery Diabetes and its complications Diabetes and Complications
9 Bleeding PUD, Shock, Hep C, SBP Liver
10 Schizophrenia, Mood Disorders, Psychopharmacology Psychiatry
11 Pneumonia, Meningitis, TB Infectious Disease
12 STD, UTI, Abdominal catastrophe Abdominal and Pelvic Infections
13 Migraine, Cluster, Spinal Impingement Neurology I
14 OSCE & CBE or Inpatient Psychiatry Transition
15 HIV, Rheumatology Immune System Disease
16 Dementia, OA, BPH, Hyponatremia Geriatric Illness
17 Micro and Macrocytic Anemia, VTE disease Blood and Clotting
18 Pre-renal Azotemia, dehydration, delirium Kidney and more
19 Melanoma, HIV, MRSA, Syphilis Dermatology and Systemic Disease
20 Tremor, TIA, Emergency Stroke treatment Neurology II
21 OSCE + SHELF exams Finals
22, 23, 24 Selectives  

Patient Types/Procedures by Discipline

All students are required to document patient encounters/procedures using the New Innovations system.

Internal Medicine
Discipline/ Patient Type Setting Level of Participation Ancillary Reading
 

O=outpatient
I=inpatient
S=simulation

O=observation
P=participate with supervision
I=independent with supervision

SIMPLE Modules
(https://aquifer.org/)
Read the following modules if a case is not logged by week 14:

Abdominal Pain, IM rotation I I 9, 10, 11
Anemia O/I I 19
Fever O/I I 21, 24
Fluid, Electrolyte, Acid-Based disorder I I 25
GI Bleeding O/I I 10
Dysrhythmias O/I I 3
CAD O/I I 2
Acute/Chronic Renal Disease O/I I 23, 33
COPD O/I I 28
Congestive Heart Failure O/I I 4
HIV O/I I 20
Liver Disease O/I I 11, 36
Nosocomial Infection I I 24
Pneumonia O/I I 22
Rheumatologic Disorders O/I I 32, 35
TB or +PPD O/I I 20, 29
Venous Thromboembolism O/I I 30
Surgery
Discipline/ Patient Type Setting Level of Participation Ancillary Reading
 

O=outpatient
I=inpatient
S=simulation

O=observation
P=participate with supervision
I=independent with supervision

WISE-MD (or SIMPLE) Modules
(https://aquifer.org/)
Notations are for WISE-MD unless specified otherwise. Perform the modules if the cases are not seen buy week #14

Abdominal Masses O/I I Abdominal Aortic Aneurysms, Adrenal Adenoma,  Bowel Obstructions, Hernia
Abdominal Pain, Surgery Rotation O/I I Appendicitis
Breast Disorders O/I I Breast Cancer Surgery
Perioperative fluid and electrolyte disorders I I (SIMPLE) module #25
Hepatobiliary disease O/I I Cholecystectomy
Wound care/non-healing wounds O/I I  
Perioperative care: wound, drain and ileus management I I  
Shock/Trauma Care I P/I Trauma Resuscitation
Nutrition in Surgical Patients O/I I Bariatric Surgery
Colorectal disease O/I I Anorectal Disease, Appendicitis, Colon Cancer, Diverticulitis
Procedures   I  
Basic suturing O/I P Skills Module 2, 3
Sterile Technique O/I I Skills Module 1
Wound care management O/I P  

Grading and Evaluations for Internal Medicine and Surgery

  • Faculty evaluations (% of maximum points attainable) shall be multiplied by x 0.5 to allow the maximum score to reach 50% of the final grade.
  • The OSCE score (% of maximum points attainable) shall be multiplied x 0.3 to allow the maximum score to reach 30% of the final grade.
  • The shelf exam score (% of maximum points attainable) shall be multiplied by x 0.2 to allow the maximum score to reach 20% of the final grade.

The scores of the Faculty Evaluations, OSCE score, and Shelf exam score shall be summed. No site shall have a proportionate preponderance or paucity of the students who receive honors. An average of 20% of the class shall receive the grade of honors and an average of 30% who receive High Pass each block. Grades are based upon the above parameters and the application of indices of professionalism and completion of weekly Themes Topics that are outside of the scope of the above numeric process, but which can eliminate Honors (discussed elsewhere).