sjv prime/life school 2014-2015 schedule (revised … · 20 psych exam psychiatry exam ... 4/8/15...

SJV PRIME/LIFE SCHOOL 2014-2015 SCHEDULE (Revised 1/14/15)

Wednesday Afternoons – 1pm to 5pm - Refreshments at Break

Location: UCSF Fresno Center, Room #112

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Date Week Department Topic THURS

10/30/14 1 PSYCH/NEURO Clinical Orientation to: Basic Neurology and Localization

1. How to do a Neurological Exam (Alving) 2. Stroke (Ischemic/Hemorrhage) (Warwick) 3. How to read an MRI (Warwick) 4. Cases (Warwick)

WED

11/5/14 2 FCM Clinical Orientation to: Diabetes Mellitus, Health Maintenance

1. Discuss Health maintenance initiatives in practice, preventative health guidelines, vaccination schedules and prioritization of issues during the outpatient visit.

2. Discuss the pathophysiology, diagnostic and management approaches, interpretations of clinical data, and preventative measures for Diabetes Mellitus

3. Discuss socioeconomic impacts to care for diabetes and preventative health maintenance, e.g. access to health care

WED 11/12/14

3 PSYCH Overview of Psychopathology and Psychopharmacology, Part I 1. Psychosis and Antipsychotics 2. Depression and Antidepressants

WED 11/19/14

4 IM Renal: 1. Student report – case presentation of renal failure 2. Discuss presentation and evaluation of acute and chronic renal

failure 3. Discuss management of electrolyte disorders:

a. Hypo/hyper natremia b. Hypo/hyper kalemia c. Hypo/hyper calcemia d. Acid base disorders

4. Discuss management of IV fluids in renal failure

WED 11/26/14

5 FCM *RM CHANGE*

RM135

Pulmonary 1. Student Report – Case discussion of dyspnea or asthma 2. Discuss outpatient evaluation of complaint of dyspnea with

formulation of differential diagnosis. 3. Discuss the pathophysiology, diagnostic and management

approaches, interpretations of clinical data, and preventative measures for

a. Asthma b. COPD c. DVT/PE d. Pneumonia e. TB and Valley Fever

WED

12/3/14 6 PSYCH/NEURO PNS Disorders and Approach to the Neurologic Patient and Weakness

1. Localization and Approach to the Neurologic Patient (Mogelof) 2. Approach to the Patient with Weakness/Myopathy/NMJ/MND Disorders vs. Myelopathy (Mogelof & Ryan) 3. Radiculopathy/Peripheral Neuropathy/NCS/EMG (Mogelof & Ryan) 4. Cases (Mogelof & Ryan)




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Date Week Department Topic WED

12/10/14 7 IM

*RM CHANGE* RM135

Gastrointestinal 1. Student report – case report of GI bleeding 2. UGI vs LGI bleeding

a. Discuss pathophysiology, diagnosis, work-up, and management

3. Understand the evaluation and management of cirrhosis and abnormal liver function

a. Discuss risk factors for cirrhosis and impact of social factors in this disease

b. Discuss treatment with transplantation 4. Understand and differentiate between acute and chronic pancreatitis

a. Distinguish the pathophysiology of acute and chronic pancreatitis as well as the management thereof. Recognize the signs of severe pancreatitis and critical management

b. Discuss treatment of underlying diseases leading to pancreatitis

WED 12/17/14

8 FCM

Hypertension (2 hrs) Discuss a working knowledge of clinical presentation, differential diagnosis, diagnostic and management approaches, patient education, and preventive measures for hyperlipidemia, diabetes mellitus and hypertension. Multidisciplinary Case Presentation Session #1 (2hrs) Topic: Choice of case from outpatient or inpatient. Choose a case that has multiple facets for full discussion. Please see Dr. Stoltz for questions. Team A: Fabian Alberto, Fakhra Khalid

12/20/14-1/4/15 WINTER BREAK

WED

1/7/15 9 PSYCH

Overview of Psychopathology and Psychopharmacology, Part II 1. Bipolar Disorder and Mood Stabilizers 2. Anxiety and Anxiolytics

WED

1/14/15 10 PSYCH/NEURO Cognitive Neurology

1. Coma (Student-Led; Seminar/Alving) 2. Delirium (Student-Led; Seminar/Alving) Bradley Ch. 4 3. Dementia/MCI (Student-Led; Seminar/Alving) 4. Front Lobe Lecture (Alving) Bradley Ch. 18 5. Cases (Alving) 6. Approach to the Neurological Patient (Alving)

WED

1/21/15 11 FCM Geriatrics (2hrs)

1. Discuss management of multiple medications 2. Understand barriers to care including transportation or ambulation. 3. Discuss unique issues of geriatric patients. 4. Recognize impact of cultural differences in geriatric care




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Date Week Department Topic Multidisciplinary Case Presentation Session #2 (2hrs) Topic: Choice of case from outpatient or inpatient. Choose a case that has multiple facets for full discussion. Please see Dr. Stoltz for questions. Team B: Katy Ruch, Maricela Rangel-Garcia, Megan Tresenriter

WED 1/28/15

12 FCM *RM CHANGE*

RM135

IM

FCM Project Presentations (1-3p) Infectious Diseases with HIV (3-5p)

1. Discuss the following infectious diseases: a. Pneumonia b. UIT c. Bacteremia, sepsis, and endocarditis

2. Understand the diagnosis and work up of these infections both in the outpatient setting as well as inpatient setting.

3. Understand the rationale for treatment and risks of antibiotic resistance.

WED 2/4/15

13 PSYCH/NEURO

Syncope / LOC and Seizures 1. Loss of Consciousness/Syncope (Student-Led; Seminar/Akhtar)

Bradley Ch. 2 & 3 2. Seizures, Pseudoseizures, Anti-Epileptic Drugs (Akhtar & Hutchinson)

Bradley Ch. 4 3. Cases (Akhtar & Hutchinson)

SAT

2/7/15 13a MidPoint Online Assessments DUE

IM, Psych, FCM WED

2/11/15 14 PSYCH Psychotherapy

1. Introduction of Psychodynamics 2. Time-Limited Psychotherapies

a. Cognitive-Behavioral Therapy b. Interpersonal Therapy

WED

2/18/15 15 <<PENDING>>

Meet in RM 112 Cultural Competency Activity – with Dr. Hugh Yang

Holistic Cultural and Education Wellness Center Visit 4879 E. Kings Canyon Road Fresno, 93720, United States (559) 255-8395

WED 2/25/15

16 IM (CPX)

CPX Internal Medicine Standardized Patient Activity on end of life/advance directives in the morning. Each student to do two 20 minute clinical skills sessions.

WED 3/4/15

17 PSYCH Psychiatry Student Presentations




4

Date Week Department Topic WED

3/11/15 18 IM

Cardiac

1. Review didactic topics from inpatient rotation 2. Discuss the pathophysiology, diagnostic and management

approaches, interpretations of clinical data, and preventative measures for:

a. Coronary Artery Disease/Ischemic Heart Disease b. Management of Acute Myocardial Infarction c. Hyperlipidemia

3. Discuss common cardiac arrhythmias and valvular heart disease WED

3/18/15 19 IM

*RM CHANGE* RM135

Hematology/Oncology 1. Describe various forms of anemia

a. Understand the differential diagnosis of anemia and the symptoms which present

b. Discuss treatment modalities c. Understand use of transfusion of various blood products

and issues surrounding transfusion medicine 2. Understand early warning signs of cancer diagnoses including

lymphadenopathy. Discuss use of screening tests for cancer, genetic testing, and basic principles of oncology

THURS

3/19/15

19 IM Morning Report 7am (breakfast will provided.)

WED 3/25/15

20 PSYCH Exam

Psychiatry Exam** (1p-3:30p)

WED 4/1/15

21 IM Head to Toe Physical/Game Changers Exam SPs

WED 4/8/15

22 MEDICINE (IM) Exam

Internal Medicine Shelf Exam** (1p -3:30p)

WED 4/15/15

23

PSYCH/NEURO

Outpatient Neurology 1. Parkinson’s Disease and Tremor (plus videos) (Mogelof) 2. Cases (Mogelof) 3. Headaches – Migraines and Cluster (Saxton) Bradley Ch. 20 4. Cases (Saxton)

WED

4/22/15 24 FCM Exam

FCM Exam Shelf Exam **(1p -3:30p)




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References:

Internal Medicine clerkship for LIFE:

Core Medicine Clerkship Curriculum Guide v 3.0 2006 (http://www.im.org/toolbox/curriculum/coremedicineclerkshipcurriculum/Documents/OnlineCDIMCurriculum.pdf)

CDIM-SGIM Core Medicine Clerkship Curriculum Pocket Guide Version 3.0 (http://www.im.org/toolbox/curriculum/Students/Learning/Documents/CDIM-SGIMcurriculumPGorderform.pdf)

Internal Medicine Essentials for Clerkship Students 2.0 (published by Clerkship Directors in Internal Medicine and American College of Physicians)

Primer to the Internal Medicine Clerkship 2nd Edition (http://www.im.org/Publications/PhysiciansInTraining/Documents/Primer2ndEd.pdf)

MKSAP (Medical Knowledge Self-Assessment Program) for Students 4 (published by American College of Physicians)

In the Clinic (published by American College of Physicians) Harrison's Principles of Internal Medicine (17th Edition) Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine Cecil Essentials of Medicine