Study Guides:

Internal I

Internal II

Internal Medicine Rotation
Syllabus & Course Objectives

1. COURSE TITLE: INTERNAL MEDICINE ROTATION
2. COURSE/PREFIX NUMBER:  
   • PHA 401a — Internal Medicine I — the first Internal Medicine Rotation the student does
   • PHA 401b — Internal Medicine I — the second Internal Medicine Rotation the student does
3. CREDIT HOURS: 3 for each

4. CONTACT HOURS: 172 clinical hours for each

5. COURSE PREREQUISITES/COREQUISITES:  Successful completion of Year I of the PA Program.

6. COURSE DESCRIPTION:

   This required two-month experience takes place with one month in an inpatient setting and the other in an outpatient setting. In addition, this rotation should include clinical experience in long-term care settings. The Internal Medicine requirement may be met through two consecutive one-month rotations at a single site, or two one-month rotations at separate locations and/or times. The purpose of this rotation is to educate the physician assistant student in the diagnosis, management, and treatment of acute and chronic medical problems commonly encountered in the internal medicine setting. If at all possible, this rotation will emphasize the care of adult non-surgical patients in rural communities.

7. COURSE OBJECTIVES:  By the end of the rotation, the student will:

   1. Demonstrate a sensitivity to the emotional, social, and ethnic backgrounds of patients by effectively interacting with them.
   2. Communicate and perform professionally with other members of the health care team in an internal medicine practice setting.
   3. Recognize limitations by seeking help from supervising preceptor and consulting reference materials.
   4. Demonstrate professional demeanor by adherence to dress code, attendance expectations, general behavior guidelines, and response to constructive criticism in the internal medicine practice setting.
   5. Make organized oral case presentations to the preceptor that demonstrate appreciation of pertinent medical findings.
   6. Perform and record a complete medical interview and physical examination.
   7. Perform and record a problem-oriented age-specific medical interview and physical examination.
   8. Identify normal and abnormal findings in the comprehensive history and physical examination of a patient in an internal medicine setting.
   9. Write problem-oriented medical records in the SOAP format.
   10. Use and interpret diagnostic procedures relevant to the internal medicine practice setting.
   11. Formulate a problem list and differential diagnosis based upon history, physical examination, and laboratory data.
   12. Formulate and implement a management or treatment plan as approved and supervised by the preceptor based on all pertinent medical data.
   13. Perform technical procedures related to the care of the adult non-surgical patient.
   14. Provide counseling regarding health promotion and disease prevention appropriate to the adult non-surgical patient.
   15. Identify conditions and disease entities commonly encountered in the rural general internal medicine practice setting.

8. LECTURE/LAB/CLINICAL SCHEDULE: Rotations individually assigned
   .

9. COURSE GUIDELINES AND EXPECTATIONS:
   Policies will be consistent with those published in the Clinical Year Manual and the College Student Handbook. The 7-point grading scale in the College Student Handbook will be used.
   .

10. METHOD OF EVALUATION:

    Preceptor evaluation	50%
    EOR exam	30%
    EOR quiz	10%
    Pharm Note card	10%
    No oral or written assignments in the spring or summer

    If both one-month periods of Internal Medicine are at the same site, the preceptor will formally evaluate the student at the end of each month. There will be an EOR exam at the end of each. Use the Study Guides for the list of topics for each test.
    .

11. TEXTS/REFERENCE MATERIALS – In addition to books required for all rotations:

    • Stein (1999). Rapid Analysis of Electrocardiograms, 3rd ed. Williams & Wilkins.

 XII.    DATE OF SYLLABUS APPROVAL/REVIEW/REVISION: May 31, 2005