Course Objectives
Required Clinical Experiences

COURSE OBJECTIVES

The following are the learning objectives for the Internal Medicine clerkship/course. Students are expected to demonstrate proficiency in these areas in order to satisfactorily complete the rotation/course. In addition, the extent of a student's mastery of these objectives, will help guide the clinical /course evaluation and final grade.

Course Objective	Mapped UCI School of Medicine Program Objective	Core Competency
IM-I. Apply knowledge of the structure and function of the major organ systems, the pathogenesis of diseases, and interventions for effective treatment to patients who present with medical conditions commonly cared for by internists.	A-1. Knowledge of the structure and function of the major organ systems, including the molecular, biochemical and cellular mechanisms for maintaining homeostasis A-2. Knowledge of the pathogenesis of diseases, interventions for effective treatment, and mechanisms of health maintenance to prevent disease	Knowledgeable
IM-2. Obtain a relevant history, perform a focused exam, and communicate findings to patients and colleagues in multiple care settings (primary care, hospital-based practice, medicine subspecialties). .	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes B-1. The ability to competently conduct a medical interview and counseling to take into account patient health beliefs, patient agenda and the need for comprehensive medical and psychosocial assessment B-2. The ability to competently perform a complete and organ-system-specific examination including a mental health status examination	Knowledge Skillful
IM-3. Recognize and interpret common diagnostic tests employed by internists.	A-2. Knowledge of the pathogenesis of diseases, interventions for effective treatment, and mechanisms of health maintenance to prevent disease	Knowledgeable
IM-4. Develop and articulate a cogent, accurate assessment and plan that includes a problem list and prioritized differential diagnosis.	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes B-3. The ability to articulate a cogent, accurate assessment and plan, and problem list, using diagnostic clinical reasoning skills in all the major disciplines	Knowledgeable Skillful
IM-5. Show commitment to lifelong learning, seek feedback, and independently seek new knowledge and skills to improve.	B-4. The ability to search the medical literature, including electronic databases, and to locate and interpret up-to-date evidence to optimize patient care D-1. A commitment to lifelong learning and independently seeking new knowledge and skills in their own recognized areas of learning deficit	Skillful Dutiful
IM-6. Demonstrate professional and ethical care by being sensitive to diverse cultures, health beliefs, and social factors impacting patient health and illness.	A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes A-5. Knowledge of medical practice, including health care economics and health systems impacting delivery and quality of patient care.	Knowledgeable
IM-7. Show commitment to patient care and to the well-being of patients, colleagues, and themselves.	A-5. Knowledge of medical practice, including health care economics and health systems impacting delivery and quality of patient care. B-1. The ability to competently conduct a medical interview and counseling to take into account patient health beliefs, patient agenda and the need for comprehensive medical and psychosocial assessment D-2. A commitment to coordinated patient care and to the well-being of patients and colleagues as evidenced by effective collaboration on interprofessional health care teams D-4. A commitment to personal well-being and the well-being of family and friends	Knowledgeable Skillful Dutiful

The clerkship objectives outlined above reference content such as "pathogenesis of diseases" affecting patients "on the inpatient medicine service." Inherent to internal medicine, this content is broad. As such, students are encouraged to also reference the following document for more detailed objectives provided by the national CDIM-SGIM guide. Beginning on page 38 of the document, students will find an outline of objectives that serve as examples of what they may strive to achieve during their time on the clerkship.

REQUIRED CLINICAL EXPERIENCES

There are two levels of student responsibility that may be expected for a required clinical experience (case log):

Comprehensive Encounter
The student is the primary evaluator for this encounter. They will obtain the patient history, perform the physical examination, and discuss/develop differentials and management plans with the team. In the appropriate settings, the student will follow-up on the diagnostic workup, re-evaluate the patient, and contribute to disposition planning.

Focused Encounter
The student contributes to the care of the patient as part of the clinical team. This can include conducting a focused history or physical examination, reviewing and interpreting the diagnostic workup, performing or assisting with a procedure, or actively participating in an operative case.

Patient Type/Clinical Condition	Course Mapping	Program Mapping	Procedures/Skills	Clinical Setting(s)	Minimum Level of Student Responsibility	Alternative Clinical Experiences/Teaching Modules
Abdominal Pain	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Abdominal Pain simulation case or article
Acute Kidney Injury	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Focused Encounter	Acute Kidney Injury vignette, simulation case or article
Altered Mental Status	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Identify patient, differential diagnosis	Inpatient, Ambulatory	Focused Encounter	Altered Mental Status vignette, simulation case or article
Anemia	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Focused Encounter	Anemia vignette, simulation case or article
Cancer Diagnosis/Treatment	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Cancer Diagnosis/Treatment vignette, simulation case or article
Chest Pain	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Chest Pain vignette, simulation case or article
COPD/Asthma	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	COPD/Asthma vignette, simulation case or article
Diabetes Mellitus	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Diabetes Mellitus vignette, simulation case or article
Heart Failure	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Heart Failure vignette, simulation case or article
Liver Disease	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Focused Encounter	Liver Disease vignette, simulation case or article
Pain/Palliative Care	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Focused Encounter	Pain/Palliative Care simulation case or article
Sepsis	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Comprehensive history and physical, communicate with treatment team, create differential diagnoses, develop treatment plan	Inpatient, Ambulatory	Comprehensive Encounter	Sepsis vignette, simulation case or article
Syncope	IM1 IM2 IM4	A1 A2 A3 B1 B2 B3	Focused history and physical, discussion of diagnosis, treatment options	Inpatient, Ambulatory	Comprehensive Encounter	Syncope simulation case or article