Internal Medicine & Surgery
Internal Medicine and Surgery 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).
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 |
O=observation |
SIMPLE Modules |
|
| 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 |
O=observation |
WISE-MD (or SIMPLE) Modules |
|
| 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).