Junior Medical Student Education Objectives

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Third Year Internal Medicine Clerkship 2014 - 2015 Objectives


1. Communicate effectively with patients, family members and the health care team in a respectful and professional manner while receiving and giving feedback during H&Ps, ward rounds, and case presentations, and in the counseling and in the waiting room. Derive a a differential diagnosis and patient treatment plan that includes appropriate Internal Medicine subspecialty consultation and therapy.


1. Gather, interpret and record an accurate history and physical examination for presentation at morning rounds.
2. Assess, choose, and demonstrate learned patient care activity that confirms to the health care team, knowledge of procedures used during clinical situations.
3. Asssociate and communicate the physiologic responses to metabolic challenges of varying degrees as identified or needed, to the health care team during patient encounters, morning rounds, case presentations, simulation lab scenarios and in the emergency room.
4. Recognize and understand the indications for diagnostic procedures involved in the evaluation of medical conditions that might provide additional diagnostic ortherapeutic benefit to the medical patient.


Students shall acquire the body of knowledge and thinking processes necessary to becoming a competent physician.

a. Apply the basic science principles of normal and abnormal structure, development, and function of the human body to clinical medicine.
b. Acquire the scientific knowledge of the nature of agents and mechanisms that produce alterations in the structure and function of the human body.
c. Demonstrate an understanding of normal human behavior and the impact of human behavior on health and illness.


The SEC will be held each Thursday afternoon in an effort to help bolster medical knowledge as well as help students develop their medical management skills. Faculty and residents will be responsible for facilitating each session that will consist of up to date audio lectures followed by a “Washington Manual” review session. The class will culminate in a case conference. The Washington Manual session and case conference will be live discussions with faculty and/or residents. Below is the schedule for each of the six weeks students will be rotating on the Internal Medicine ward service. Quiz 1 will be comprised of questions from the first three session topics and Quiz 2 will be comprised of questions from Sessions 4 through 6, and other prerecorded lectures.

SESSION 1: Cardiovascular
SESSION 2: Pulmonary
SESSION 3: Nephrology and Endocrine (quiz and review to follow lectures)
SESSION 4: Infectious Disease
SESSION 5: Neurology
SESSION 6: Thrombotic Disorders (quiz and review to follow lectures)


Each student is required to attend this conference each Tuesday at 8 a.m. at the Votaw Auditorium located at the Quillen ETSU Physicians' building. Students on call Monday night should attend this conference. Following the 8 a.m. conference students are to report to their respective sites.


As a component of Internal Medicine, students will attend a lecture given by Dr. Timir Paul – ETSU Physicians, Cardiologist.

References and Materials to read: (Optional)

Balady GJ, Williams MA, Ades PA, et al. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement from the American Heart Association and AACVPR. Journal of Cardiopulmonary Rehabilitation and Prevention.2007;27:121-129.

Balady GJ et al. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: Circulation. 2007;115(20):2675-2682.

N.K. Wenger. Current Status of Cardiac Rehabilitation. Journal of the American College of Cardiology. 51(2008), pp. 1619–1631.

Hammill BG, Curtis LH, Schulman KA, Whellan DJ. Relationship Between Cardiac Rehabilitation and Long-Term Risks of Death and Myocardial Infarction Among Elderly Medicare Beneficiaries. Circulation. 121(2010); pp 63-70.

Suaya JA, Stason WB, Ades PA, et al. Cardiac Rehabilitation and Survival in Older Coronary Patients. J. Am. Coll. Cardiol. 2009;54;25-33.

Geol K, Lennon RJ, Tilbury RT et al, Impact of Cardiac Rehabilitation on Mortality Following Percutaneous Coronary Intervention.Circulation. 2011;123:2344-2352.

Knowledge Base

The Department of Internal Medicine wants each ETSU student to have strong medical knowledge in internal medicine. To aid in the development of this knowledge base the course includes an academic half day each Thursday during the course.
Textbooks for Reading

Dr. Berk’s Pre-Test Medicine: Self-Assessment and Review book will be available to all clerkship students from the office of the Clerkship Secretary. Harrison’s Principles of Internal Medicine available to all clerkship students on loan from the office of the Clerkship Secretary.

Step Up To Medicine available to all clerkship students on loan from the office of the Clerkship Secretary.

Cecil’s Essentials of Medicine – 7th Edition available to all clerkship students on loan from the office of the Clerkship Secretary.

Bates History and Physical Examination – 11th Edition available to all clerkship students on loan from the office of the Clerkship Secretary.