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Internal Medicine I (Junior)

This document outlines the Internal Medicine I course for fourth-year medical students. The 10-week course provides clinical experience in inpatient and outpatient settings at two hospitals to develop skills in history taking, physical examination, diagnosis, and management of common medical conditions. Students will learn about major body systems including cardiovascular, pulmonary, gastrointestinal and more. Evaluation includes a final written exam, clinical skills assessments, and evaluations of clinical performance.

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Joseph Rishmawi
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49 views6 pages

Internal Medicine I (Junior)

This document outlines the Internal Medicine I course for fourth-year medical students. The 10-week course provides clinical experience in inpatient and outpatient settings at two hospitals to develop skills in history taking, physical examination, diagnosis, and management of common medical conditions. Students will learn about major body systems including cardiovascular, pulmonary, gastrointestinal and more. Evaluation includes a final written exam, clinical skills assessments, and evaluations of clinical performance.

Uploaded by

Joseph Rishmawi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Faculty of Medicine

Department of Internal Medicine

Intended Learning Outcomes (ILOs)

Curriculum & Programme Evaluation Committee


Internal Quality Committee
Internal Medicine I (Junior)
Course Number Credit Sequence
Hours
6201401 10 Fourth Year
Course Coordinator Dr. Mohammad zaidan
E.mail dr.zaidan@gmail.com
Clinical Teaching Assistant Dr. Belal omar
E.mail bomar2340@gmail.com

Course description:
This is the basic medicine clerkship offered to fourth-year students. It serves as a prerequisite for
different courses, and clerkships. Students participate in the care of hospitalized patients to refine
their skills of history taking and physical examination and to learn how to care for the acutely ill.
Instruction includes ward rounds, seminars, and didactic lectures. This clinical course is designed
to expose the student to a broad range of medical diseases in general internal medicine and
various specialties for inpatients and in the ambulatory setting. There will be a one week of
lectures in core medical topics then students start clinical rotations in hospitals. During eight
weeks rotation, student has to go to two different hospitals, in each hospital he will spend four
weeks. By the end of the rotation, the student will be able to take history and perform a thorough
examination and to recognize physical signs in the cardiovascular, endocrine, gastrointestinal,
respiratory and nervous system. They have to interpret pertinent laboratory data and be able to
discuss differential diagnosis and management plan.

General Objectives
By the end of the rotation
Aim 1: The student will be able to take history and perform a thorough examination and to
recognize physical signs in the cardiovascular, endocrine, gastrointestinal, respiratory and
nervous system.
Aim 2: The students should focus on the definition of diseases and underlying pathophysiology
and correlate above information to make a differential diagnosis.

Intended Learning Outcomes of Course (ILOs)

A. Recall of Knowledge and Understanding:


By the end of the course, students will be able to:
● Recognize the physiologic mechanisms that explain key findings in the history and physical
exam
● Understand the etiologies, pathophysiology, clinical features, differential diagnosis, and related
diagnostic testing and management of common inpatient medical conditions.

B- Intellectual Skills
By the end of the course, students will be able to:
● Obtain a patient's history and physical exam in a respectful, logical, organized and thorough
manner. When necessary, obtain supplemental historical information from collateral sources,
such as significant others or previous physicians.
● Understand and prioritize problems with which a patient presents, appropriately synthesizing
these into logical clinical syndromes
● Formulate a differential diagnosis based on the findings from the history and physical
examination and apply differential diagnosis to help guide diagnostic test ordering and
sequencing.

C. Professional and Practical Skills


By the end of the course, students will be able to:
● Demonstrate a commitment to caring for all patients, regardless of the medical diagnosis, gender,
race, socioeconomic status, intellect/level of education, religion, political affiliation, sexual
orientation, ability to pay or cultural background.
● Exhibit teamwork and respect toward all members of the health care team, as manifested by
reliability, responsibility, honesty, helpfulness, selflessness, and initiative in working with the
team.
● Demonstrate a positive attitude towards learning by showing intellectual curiosity, initiative,
honesty, integrity and dedication.

D. General and Transferable Skills


By the end of the course, students will be able to:
● Demonstrate an awareness of the interaction of social factors with the patient’s illness.
● Maintain patient confidentiality.
● Provide explanations to patients in language they can understand.
● Be receptive to feedback on performance.
● Learn to be flexible and be willing to take advice and change in the light of new information.

E. Responsibilities
● During the rotation you will be one of the team, so your role is paramount and should not be seen
as an extra person with no function, this is to be managed by sticking to your role and being a
proactive member.
● During the rotation, you will be rounding with the assigned internal medicine attending and his
team.
● Your daily schedule will align with the attending’s daily agenda.
Course Summary:
10 weeks course aims to provide the fourth year students with the information and basic skills
necessary to provide comprehensive medical care, and gain knowledge of the methods of
diagnosing and treating common medical diseases.

Methods of Teaching:

A- Clinical teaching:
● Daily ward round and bed side teaching
● Daily seminars
● Outpatient clinics attendance and discussion of medical problems
● After hours on call to provide the exposure to medical emergencies

B -Theoretical Sessions (TS)

CARDIOVASCULAR SYSTEM - Ischemic heart disease and myocardial infarction


- Congestive heart failure practice guidelines. Systolic vs
diastolic
- Hypertension: essential and secondary
- Valvular heart disease
- Clinical diagnosis of rheumatic fever
- Arrhythmias
- Pericardial disease
- Congenital heart disease which may occur in adults

DISEASES OF THE KIDNEY - Acute kidney injury (AKI)


AND URINARY TRACT - Chronic kidney injury (CKI)
- The major glomerulopathies
- Tubulointerstitial disease
- Acid-Base and electrolytes disturbances
DISORDERS OF THE - Diseases of Airflow Limitation
RESPIRATORY SYSTEM - Interstitial Lung Diseases
- Infectious Lung Diseases
- Pulmonary Vascular Lung Diseases
- Neoplastic Disease of the Lung
- Diseases of the Pleura: Pleural effusion, Pneumothorax

ENDOCRINOLOGY AND - Diseases of the pituitary


METABOLISM - Diabetes insipidus
- Pituitary tumors
- Hypopituitarism
- Empty Sella Syndrome
- Thyroid Diseases
Diseases of the esophagus
GASTROENTEROLOGY
Peptic ulcer and gastritis
Disorders of absorption
Small bowel diseases
Large bowel diseases
Liver and biliary tract diseases
Pancreatic diseases
HEMATOLOGY Pathophysiology of anemia
Anemia of chronic disease
Iron deficiency anemia
Megaloblastic anemia
Hemolytic anemias (congenital and acquired)
Myeloproliferative disorders
Leukemias (acute and chronic)
Lymphoma (Hodgkins, non-Hodgkins and plasma cell
myeloma)
Clotting disorders

INFECTIOUS DISEASES Clinical syndromes: Gram-negative sepsis, Infective


endocarditis, Upper and lower respiratory infections,
Urinary tract infections, Soft tissue infection,
Tuberculosis.
Viral infection: Influenza and prevention, Herpes
infection, Hepatitis A, B and C, Infectious mononucleosis
and cytomegalovirus.
Fever of unknown origin
RHEUMATOLOGY - Systemic Lupus erythematosus (SLE)
- Rheumatoid arthritis
- Scleroderma
- Mixed connective tissue disease
- Sjogren's syndrome
- Ankylosing spondylitis
- Vasculitic syndromes
- Sarcoidosis
- Osteoarthritis
- Psoriatic arthritis and arthritis associated with GI
diseases
- Familial Mediterranean Fever (FMF)
- Behcet’s disease
- Gout

Evaluation:
● 50 % written exam (final exam)
● 30 % clinical exam “10% mini OSCE at the end of the rotation // 20% OSCE at the end of the
year”.
● 20 % evaluation from tutor.

Recommended Text Books:


- Macleod’s clinical examination
- Kumar textbook of medicine
- Davidson’ textbook of medicine
- Harrison’s textbook of medicine

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