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Center for Health Sciences
Internal Medicine
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Clerkship

Syllabus

IM I - CLME 9115
IM II - CLME 9125

  1. General Description
    1. Practical clinical experience is an integral part of each OSU College of Osteopathic Medicine (OSU-CHS) clerkship program and directs the clerkship program. The courses (rotations) are conducted at OSU-CHS affiliated "core" teaching hospitals located in Tulsa, Oklahoma City, Enid, Tahlequah, Durant, Lawton and Muskogee, Oklahoma. OSU-CHS requires successful completion of rotations for graduation.
    2. The chairman of the OSU-CHS department of internal medicine coordinates the course and the department arranges assignments and additional course responsibilities.
    3. Two rotations (courses I-CLME 9115 and II-CLME 9125) in clerkship medicine are assigned. Each rotation is a four-week clinical experience designed to develop patient-related cognitive and decision-making skills. The teaching physician for each service directs patient care responsibilities, reading assignments and educational activities. Students are encouraged to observe, evaluate and participate in discussions of patient care.
    4. Students are expected to dress appropriately. Men should wear a shirt, tie and slacks. Women should wear slacks or a dress. A white physician's jacket with OSU identification should be worn at all times. Scrubs are acceptable in the Intensive Care Unit and the GI Center.
    5. Students are expected to identify themselves to patients and hospital personnel as medical students, not as graduates or licensed physicians.
  2. Course Objectives
    1. Medicine clerkship is designed to acquaint third-year medical students with care of acutely-ill, hospitalized patients. Case discussions, clinical pathology conferences, didactic lectures, and bedside teaching accompany patient care.
  3. Learning Resources
    1. 1. OSU Medical Center Library – Harrison's Principles of Internal Medicine – 18th ed. and Step-Up to Medicine. Agabegi. 3rd ed. 2013.
    2. OSU-CHS Library
  4. Student Responsibilities
      1. One hundred percent (100%) attendance is required on all rotations. An excused absence must be obtained from the attending and approved by the course coordinator prior to any absence. Students are expected to make up all absences due to short-term illness, accident, or personal matters (e.g., intern interviews, etc.). Make-up arrangements are made with the service director. Additionally, attendance is mandatory at Morning Report, Grand Rounds, Tumor Board, and Clinic Pathologic Conference.
      2. Online simple cases - Complete 12 cases each month for a total of 24 cases (choose out of 36 cases) - http://www.med-u.org
      3. Students will be responsible to obtain their own Step-Up to Medicine. Agabegi. 3rd ed. 2013. Student is responsible for completing this book by the end of the 2 months.
  1. Educational Events
      1. Morning Report: Conducted from 7:15-8:15 a.m., Monday, Tuesday, Thursday, and Friday. Consists of case presentations and various lectures.
      2. Student Book Club: A review of Step-Up to Medicine supervised by an Internal Medicine Attending or Resident on Friday from 3 -5 p.m.
      3. Clinical Rounds: Conducted following Morning Report, Monday through Friday. The length and involvement of rounds are determined by type of service and the service director. Many services provide experience in an office setting.
      4. Tumor Board: Held third Tuesday of every month from 12 - 1 p.m.
      5. Grand Rounds: Held every Wednesday from 12 - 1 p.m.
      6. Clinical Pharmacy lectures: Wednesday mornings at 7:15 (lectures available on D2L for students located outside of Tulsa)
  2. Evaluation
      1. At the completion of each rotation, the attending physician on each service determines overall performance. Input is gathered from residents, interns and other supervising physicians. The final evaluation, with comments, is determined by careful assessment of medical knowledge, diagnostic acumen, decision-making, professionalism, and interaction with other members on the service.
      2. There will be two department exams at the end of each month's rotation.  Exam questions will be based over information found in the Step-Up-To Medicine readings and Pharmacy Lectures.  Each exam will have a total of 20 questions.  These department exams are in addition to the SHELF exam, which will be taken at the end of the 2nd month.  The department exams will not count toward the final grade, but are meant to be a bench mark to evaluate the understanding of the intricacies of Internal Medicine and better prepare each student for the SHELF exam.
      3. Overall Evaluation is a Percent as Follows:

        A

        90-100%

        Excellent

        B

        80-89%

        Good

        C

        70-79%

        Satisfactory

        D

        65-69%

        Marginal

        U

        64% and below

        Unsatisfactory
      1. Grades for Each Month's Rotation are determined as follows:
        1. The clerkship evaluation is worth one hundred percent (100%) and is determined by performance during rotation, presentations at Morning Report and participation on the service.
        2. Students must pass the Internal Medicine Shelf Exam to pass this rotation.
        3. The site evaluation is a course requirement, and must be completed within seven (7) calendar days after the completion of the rotation.
      2. Grade Grievances: Directed to the course coordinator or chairman of internal medicine.

Course Coordinator – Kathy Cook, D.O.

Department Chair - Damon Baker, D.O.

Contact Dr. Cook or Dr. Baker through Amanda Scott, program coordinator/administrative assistant:
Email: amanda.l.scott@okstate.edu
Phone: 918-382-3535