Southwest Campus

Pulmonary Medicine

St. Alexius Medical Center

IMED 9111

Participating Faculty:
James A. Hughes, M.D.
Somsak Kriengkrairut, M.D.
Nicholas Neumann, M.D.
Monica T. Paulo, M.D.

Offered: All periods
Positions: 1

Objectives of the Elective:

1. Bedside and clinical evaluation of chest disorders. (Physical exam of normal and abnormal findings).
2. Ability to diagnose chest diseases, know normal structure and function, and detailed knowledge of physiologic and pathologic alterations as well as etiologies and pathogenic mechanisms behind them.
3. Gain expertise in radiographic interpretation of the chest, radiographs, computed tomography, and angiography.
4. Gain expertise in interpretation of pulmonary function testing exercise physiology, and clinical application.
5. Experience in inpatient and clinic-based consultation.
6. Exposure to pulmonary medicine procedures; thoracentesis, pulmonary arterial catheterization, chest thoracostomy and bronchoscopy.
7. Critical care medicine/ventilator management.

Instructional Activities:

1. Daily morning working rounds.
2. Formal lectures covering the following topics: ARDS, pneumonia, asthma, PE, COPD, pleural effusion, lung cancer, PFTs, and TB.
3. Review pertinent specimens with pathologist and radiologist.
4. Supervised hands-on management of service patients.
5. Rotation through pulmonary function lab with study performed to student.

Standards of Performance (Outcomes) Indicating Attainment of Objectives:

Overall pulmonary medicine knowledge at end of rotation by evaluation of patient and delineation of diagnosis and treatment.

Criteria for Grading:

1. Progress notes - SOAP. (Assessment is most important and write-up history and physical and assessment on patient at least once a week.)
2. Personal and patient interaction.
3. Willingness to work and eagerness to learn.
4. Test (75 questions) may be given.