CUSM Clerkship Engaged Learning Content 2020-2021 Contents Emergency Medicine Clerkship Curriculum ................................................................................................. 2 Family Medicine Clerkship Curriculum ........................................................................................................ 3 Internal Medicine Clerkship Curriculum ...................................................................................................... 5 Neurology Clerkship Curriculum .................................................................................................................. 8 Obstetrics and Gynecology .......................................................................................................................... 9 Psychiatry Clerkship Curriculum ................................................................................................................ 13 Surgery Clerkship Curriculum .................................................................................................................... 15 6/17/20 Emergency Medicine Week Discussion Topic1 Cases to Review Additional Conditions 1 ▪ Respiratory ▪ Acute Exacerbation of Asthma ▪ Acute Pelvic Distress ▪ Airway Inflammatory Disease ▪ Trauma Management/Respiratory ▪ Bell Palsy (Idiopathic Failure Facial Paralysis) ▪ Bacterial Pneumonia ▪ Congestive Heart ▪ Extremity Fracture and Neck Failure/Pulmonary Pain Edema ▪ Lightning and Electrical Injury ▪ Drowning ▪ Penetrating Trauma to the ▪ Ectopic Pregnancy Chest, Abdomen, and ▪ Emerging Infections Extremities ▪ Facial Laceration ▪ Resuscitation and Critical Care ▪ Fever Without a Source Medicine Practices in the in the 1- to 3-Month-Old Emergency Department Infant ▪ Trauma and Extremes of Age ▪ Frostbite and ▪ Seizure Induced by Traumatic Hypothermia Brain Injury ▪ Heat-Related Illnesses ▪ Swallowed Foreign Body ▪ Hyperemesis 2 ▪ Chest Pain ▪ Atrial Fibrillation Gravidarum and OB ▪ Cardiac Arrest ▪ Myocardial Infarction, Acute Emergencies Less Than ▪ Noncardiac Chest Pain 22 Weeks’ Gestation ▪ Pulmonary Embolism ▪ Hyperkalemia Due to ▪ Regular Rate Tachycardia Renal Failure ▪ Sickle Cell Crisis ▪ Low Back Pain 3 ▪ Abdominal Pain ▪ Acute Abdominal Pain ▪ Nephrolithiasis ▪ Gastrointestinal ▪ Acute Diarrhea ▪ Rabies/Animal Bite Bleeding ▪ Acute Pyelonephritis ▪ Rash With Fever ▪ Shock ▪ Anaphylaxis ▪ Red Eye ▪ Gastrointestinal Bleeding ▪ Scrotal Pain ▪ Hemorrhagic Shock ▪ Septic Arthritis ▪ Intestinal Obstruction ▪ Sexual Assault ▪ Sepsis ▪ Skin and Soft Tissue 4 ▪ Altered Mental ▪ Acetaminophen Toxicity Infections Status ▪ Anti-muscarinic Toxidrome ▪ Streptococcal Pharyngitis ▪ Headache ▪ Bacterial Meningitis (“Strep Throat”) ▪ Poisoning ▪ Cocaine Intoxication ▪ Transfusion ▪ Diabetic Ketoacidosis Complications ▪ Ethanol Withdrawal ▪ Febrile Seizure ▪ Headache ▪ Hypertensive Encephalopathy ▪ Stroke ▪ Syncope 1 From the National Clerkship Directors in Emergency Medicine recommendations 6/17/20 Family Medicine Week Discussion Topic2 Cases to Review Additional Conditions 1 Health Adult Male Health Maintenance ▪ Electrolyte maintenance: ▪ Health Maintenance in Adult Disorders ▪ Breast Cancer Female ▪ Labor and Delivery ▪ Cervical Cancer ▪ Breast Diseases ▪ Postpartum Care ▪ Colon Cancer Major Depression ▪ Prenatal Care ▪ Coronary Artery Substance Abuse ▪ Medical Ethics Disease Tobacco Use ▪ Postoperative Fever ▪ Depression ▪ Obesity ▪ Prostate Cancer ▪ Tuberculosis 2 Chronic disease ▪ Cerebrovascular management: Accident/Transient Ischemic ▪ Coronary Artery Attack Disease ▪ Chronic Kidney Disease ▪ Type 2 Diabetes ▪ Chronic Pain Management Mellitus ▪ Congestive Heart Failure ▪ Substance ▪ Diabetes Mellitus Use/Abuse ▪ Dyspnea (Chronic Obstructive Pulmonary Disease) ▪ Hyperlipidemia ▪ Hypertension ▪ Irritable Bowel Syndrome ▪ Lower Extremity Edema ▪ Obstructive Sleep Apnea ▪ Thyroid Disorders 3 Geriatric patients: ▪ Dementia ▪ Fall Risk in Elderly ▪ Geriatric Anemia Patients ▪ Geriatric Health Maintenance ▪ Movement Disorders Break 4 Pediatric Patients: ▪ Abdominal Pain and Vomiting in ▪ Abuse/Neglect a Child ▪ Diet/Exercise ▪ Acute Causes of Wheezing and ▪ Family/Social Stridor in Children Support ▪ Adolescent Health Maintenance ▪ Developmental Disorders 2 From the Society of Teachers of Family Medicine National Clerkship Curriculum, 2018 6/17/20 ▪ Growth and ▪ Limping in Children Development ▪ Well-Child Care ▪ Hearing ▪ Lead Exposure ▪ Nutritional Deficiency ▪ Potential for Injury ▪ Sexual Activity ▪ Substance Use ▪ Tuberculosis ▪ Vision 5 Common acute ▪ Family Planning-Contraceptives presentations: ▪ Family Violence ▪ Intimate Partner ▪ Fever and Rash and Family ▪ Hematuria Violence ▪ HIV, AIDS, and Other Sexually ▪ Sexually Transmitted Infections Transmitted ▪ Jaundice Infections ▪ Lower Gastrointestinal Bleeding ▪ Menstrual Cycle Irregularity ▪ Musculoskeletal Injuries ▪ Skin Lesions ▪ Sting and Bite Injuries ▪ Vaginitis 6 Common acute ▪ Acute Diarrhea presentations: ▪ Acute Low Back Pain ▪ Adverse Drug Reactions and Interactions ▪ Allergic Disorders ▪ Chest Pain ▪ Palpitations ▪ Pneumonia ▪ Upper Respiratory Infections ▪ Wheezing and Asthma ▪ Dyspepsia and Peptic Ulcer Disease ▪ Joint Pain ▪ Migraine Headache 6/17/20 Internal Medicine Week Discussion Topic3 Cases to Review Additional Conditions 1 Cardiovascular ▪ Aortic Dissection, Marfan Syndrome ▪ Headache/Tempora ▪ Chest Pain ▪ Atrial Fibrillation, Mitral Stenosis l Arteritis ▪ Acute ▪ Congestive Heart Failure due to ▪ Health Myocardial Critical Aortic Stenosis Maintenance Infarction ▪ Endocarditis (Tricuspid)/Septic ▪ Dyslipidemia Pulmonary Emboli ▪ Heart Failure ▪ Hypercholesterolemia ▪ Hypertension ▪ Hypertension, Outpatient ▪ Venous ▪ Limb Ischemia (Peripheral Vascular Thromboemb Disease) olism ▪ Myocardial Infarction, Acute ▪ Syncope—Heart Block 2 Pulmonology, ▪ Chronic Cough/Asthma ENT ▪ Chronic Obstructive Pulmonary ▪ Cough Disease ▪ Dyspena ▪ Pleural Effusion, Parapneumonic ▪ Upper ▪ Pulmonary Embolism Respiratory Complaints ▪ COPD/Obstruc tive Airway Disease ▪ Smoking Cessation 3 GI ▪ Acute Sigmoid Diverticulitis ▪ Abdominal ▪ Acute Viral Hepatitis, Possible Pain Acetaminophen Hepatotoxicity ▪ GI Bleeding ▪ Chronic Diarrhea ▪ Liver Disease ▪ Cirrhosis, Probable Hepatitis C– Related ▪ Painless Jaundice, Pancreatic Cancer ▪ Pancreatitis, Gallstones ▪ Peptic Ulcer Disease ▪ Ulcerative Colitis 3 From the Clerkship Directors in Internal Medicine and Society of General Internal Medicine, 2006 6/17/20 4 Hematology, ▪ Hemoptysis, Lung Cancer Oncology ▪ Hypercalcemia/Multiple Myeloma • Anemia ▪ Immune Thrombocytopenic • Common Purpura Cancers ▪ Iron Deficiency Anemia ▪ Lymphocytosis/CLL ▪ Pericardial Effusion/Tamponade Caused by Malignancy ▪ Sickle Cell Crisis Break 5 Endocrine ▪ Adrenal Insufficiency ▪ Diabetes ▪ Alcoholic Ketoacidosis Mellitus ▪ Delirium/Alcohol Withdrawal ▪ Obesity ▪ Diabetic Ketoacidosis ▪ Substance ▪ Hypertensive Abuse Encephalopathy/Pheochromocytom a ▪ Hyponatremia, Syndrome of Inappropriate Secretion of Antidiuretic Hormone ▪ Oligomenorrhea Caused by Hypothyroidism and Hyperprolactinemia ▪ Thyrotoxicosis/Graves Disease ▪ Transfusion Medicine ▪ Type 2 Diabetes Diagnosis and Management 6 ID, Neuro ▪ Alzheimer Dementia Pneumonia ▪ Anaphylaxis/Drug Reactions ▪ Altered Mental ▪ Bacterial Meningitis Status ▪ Community-Acquired Pneumonia ▪ Fever ▪ Dizziness/Benign Positional Vertigo ▪ Rash ▪ HIV and Pneumocystis Pneumonia ▪ HIV Infection ▪ Neutropenic Fever, Vascular ▪ Major Catheter Infection Depression ▪ Syphilis ▪ Nosocomial ▪ Transient Ischemic Attack Infections ▪ Tuberculosis (Pulmonary), Cavitary Lung Lesions 6/17/20 7 Renal ▪ Acute Glomerulonephritis, ▪ Dysuria Poststreptococcal Infection ▪ Fluid, ▪ Acute Kidney Injury Electrolyte and ▪ Nephrotic Syndrome, Diabetic Acid-Based Nephropathy Disorders ▪ Urinary Tract Infection with Sepsis ▪ Acute Renal in the Elderly Failure ▪ Chronic Kidney Disease 8 MSK and Rheum ▪ Acute Monoarticular Arthritis— ▪ Back Pain Gout ▪ Knee Pain ▪ Acute Pericarditis Caused by ▪ Rheumatologic Systemic Lupus Erythematosus Problems ▪ Low Back Pain ▪ Osteoarthritis ▪ Osteoporosis ▪ Rheumatoid Arthritis 6/17/20 Neurology Table 4.3 Engaged Learning Activities – Weekly Topic List and Assigned Case Studies Discussion Topic4 Cases to Review Prior to Meeting5 Tuesday Thursday Week 12n- ▪ Cognitive Selected Cases: Selected Cases: 1 1p Impairment, Acute ▪ Alzheimer Dementia ▪ Dermatomyositis or Chronic ▪ Migraine Headache ▪ Foot Drop ▪ Focal or Diffuse ▪ Parkinson Disease ▪ Median Nerve Motor Disturbance, Mononeuropathy Acute or Chronic ▪ Pain, Acute or Chronic Sensory Dysfunction (Hypesthesia or Paresthesia) Faculty: Elias Giraldo, MD Faculty: Dhrupad Joshi, DO Week 12n- ▪ Acute Stroke Selected Cases: Selected Cases: 2 1p (Ischemic or ▪ Acute Cerebral Infarct ▪ Cerebral Concussion Hemorrhagic) or ▪ Stroke in a Young Patient ▪ Metastatic Brain Tumor TIA (Acute Ischemic) ▪ Pseudotumor ▪ Acute Vision Loss ▪ Subarachnoid Hemorrhage Cerebri/Idiopathic ▪ Brain Death Intracranial Hypertension ▪ Head Trauma ▪ Increased Intracranial Pressure Faculty: Elias Giraldo, MD Faculty: Elias Giraldo, MD Week 12n- ▪ CNS Infection Selected Cases: Selected Cases: 3 1p ▪ Encephalopathy ▪ Absence Versus Complex ▪ Acute Disseminated (Acute or Partial Seizures Encephalomyelitis Subacute) ▪ New-Onset Seizure, Adult ▪ Huntington Disease ▪ Status Epilepticus ▪ New-Onset Seizure, Child ▪ Viral Meningitis Faculty: Dhrupad Joshi, DO Faculty: Lisa Sovory, MD Week 12n- ▪ Guillain-Barre Selected