PREREQUISITES AND PLACEMENT IN THE CURRICULUM: 4th year medical student, Completion of 3rd year Internal Medicine rotation, Current UI and VA computer access
The Allergy/Asthma/Immunology Rotation is designed to provide medical students with instruction and experience in the diagnosis and management of asthma and common allergic/immunologic disorders encountered by physicians, and to educate students about disorders or diseases that require referral to an Allergy/Asthma/Immunology specialist for work-up or management.
Students should learn how to approach these syndromes, including:
1. Conduct comprehensive and detailed medical interviews with adults who present with suspected allergic and/or immunologic disorders.
2. Perform an appropriate physical examination
3. How to review the medical record, looking for information on patient demographics, risk factors for allergic or immunologic disorders, medication history, and laboratory information.
4. Select, perform and interpret appropriate diagnostic tests (e.g., skin testing, pulmonary function tests, in vitro tests, etc.)
5. Review data and formulate an appropriate differential diagnosis.
6. Provide recommendations and/or management of these syndromes after reviewing tests, reviewing the literature, and examining and discussing the cases with the attending physician.
7. Assess risk and benefits of the therapies.
8. Counsel and educate patients about diagnosis, prognosis and treatment as well as risk reduction of future health problems (e.g., smoking cessation, weight loss).
Students are expected to provide patient care to patients with asthma/allergic/immunologic disease and asthma that is effective, appropriate, and compassionate for the promotion of health, prevention of illness, treatment of disease and at the end of life. They are expected to gather detailed history and information about the patient’s asthma/allergic/immunologic issues.
Students are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences as it relates to asthma/allergic/immunologic diseases, and demonstrate the application of their knowledge to patient care and the education of others.
Practice-Based Learning and Improvement
Students are expected to be able to use scientific evidence and methods to investigate, evaluate and improve patient care practices, particularly as it relates to asthma/allergic/immunologic diseases.
Interpersonal and Communication Skills
Students are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of the health care team.
Students are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, and understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession and society.
Students are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, particularly as it relates to patients with asthma/allergic/immunologic diseases, and demonstrate the ability to apply this knowledge to improve and optimize health care.
• The principal teaching methods are daily patient-oriented, outpatient and inpatient clinical teaching, topic reviews, literature discussion, pulmonary function and other tests, and conferences.
• Self-instruction is emphasized. Students are expected to read the chapters or reviews in standard medical or recommended textbooks. Pertinent articles may be distributed and discussed during the rotation.
• The principal references are the standard texts of Medicine and Allergy/Immunology, Allergy/Asthma/Immunology Primer and the online references including the American Thoracic Society website with pertinent articles at http://www.thoracic.org/go/atsreadinglist/, UptoDate, MDConsult, Ovid, and the National Library of Medicine service (PubMed).
• This orientation document should be given to each student at the beginning of each rotation at a brief orientation meeting.
Students are evaluated by the attending who supervises them during the rotation. Verbal feedback is given as needed on an ongoing basis but specifically halfway through the rotation and at the end of the rotation. The attending completes an ABIM Competency-Based Evaluation Form and must discuss it with the student at the completion of the rotation. If an attending judges that a student is performing poorly in any area, the attending should provide constructive feedback as soon as the deficiency is apparent.
To inquire about scheduling this elective, please contact Kathleen Helling, Internal Medicine Sub-I/ Elective Coordinator at [email protected]
Program Number: Elec 270
Location: UI Health
Duration of Elective: 4 weeks
Night Call: No
# of Students Accepted: 1 Min 1 Max
Director: Sharmilee Nyenhuis, M.D.
Email: [email protected]
Coordinator: Sue Hammerschmidt
Email: [email protected]
Housestaff Used as Faculty: No
Number of hours per week: 40
Lectures/Conferences/Faculty Contact: 3
Independent Study: 5
Total Hours /Week: 40