Southeast Campus

Internal Medicine

Oakes, ND

IMED 9222

Faculty Director: Raj Potluri, M.D.

Participating Faculty: Vani Nagala, M.D.

Offered: All
Positions: One per period

Objectives of the Elective:

1. Detailed history taking with organization of presentation bearing clinical picture of patient in mind--to be able to perform a thorough physical examination and put together lab and x-ray data with patient's clinical condition.
2. Management of common medical inpatient problems--primarily based on clinical material available--but generally, management of uncomplicated and complicated myocardial infarction, CHF, COPD, community acquired and nosocomial injections, principles of antibiotic therapy, the care of the geriatric patient; standard workup of hematological oncologic conditions.
3. Outpatient follow-up of hypertension, diabetes, thyroid illnesses, "the annual physical exam," office cancer screening procedures, and outpatient management of depression (anxiety, etc.).
4. General idea as to the scope of internal medicine in a rural setting, the art of triage and the patient/person/physician relationship.

Instructional Activities:

1. Didactic sessions daily to cover above conditions and/or student's choice of topics with appropriate reference data.
2. ECG reading sessions.
3. Exposure to certain lab techniques with didactic session on blood banking, transfusion reactions, principles of culture and sensitivity testing--about a two-hour refresher session.

Standards of Performance (Outcomes) Indicating Attainment of Objectives:

1. Complete history and physicals on two or three patients per week submitted in writing and reviewed thoroughly with student.
2. Clinical quiz on topics covered during rotation during and at the end of the period. A written test will be given at the end of the rotation.
3. Conference with student regarding areas of weakness and scope of improvement.
4. A written evaluation will be presented to the student and to the assistant dean for the appropriate campus.