ME510M.3a

Gastrointestinal Diseases

Sites: MGH
Director(s): Karin Andersson, Alberto Puig
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: No (HMS only)
Description: The course will acquaint students with the major problems in gastrointestinal and liver disease and familiarize them with approaches and techniques involved in treatment. The students will spend two weeks with three fellows and an attending physician on the inpatient general gastroenterology service, and two weeks with one fellow and an attending physician on the inpatient hepatology service. The students can expect to see 1-2 new consults each day with oversight and teaching by a clinical fellow and the GI attending physician. The students will be involved in all aspects of assessment and treatment for their patients, including observation of any endoscopic procedures performed on their patients. In order to gain maximum exposure to all facets of gastrointestinal disease, students will participate in all clinical and education activities available to the GI fellows, including patient rounds, consultations, GI Grand Rounds, research and clinical seminars, didactic and case-based teaching conferences, and Clinical Journal Club. During the course of the rotation, students will be asked to present a brief talk on a GI topic of his/her choosing. There is no call.
Incorporation of Basic Science Content and Evidence-Based Medicine:
In the context of patient care, students will be encouraged to explore the pathophysiology and basic science elements of each clinical problems they evaluate, and will be expected to incorporate information about these topics into their write-ups and oral presentations, as appropriate. Students will be asked to present at least one didactic talk on a GI disorder of their choosing, and this talk should include information about pathophysiology, diagnosis, treatment, and the evidence that informs the clinical understanding and/or management of the disorder in question. Explicit discussions about evidence-based medicine and the limitations of our knowledge are incorporated into teaching rounds. Students will be encouraged to read, and will be provided with, primary literature as well as textbooks and reviews, as appropriate.
Grade Criteria:
Honors with Distinction: The high-honors student must display an outstanding fund of GI knowledge and precocious patient care skills, including physical examination skills, diagnostic abilities, and written and oral communication. High honors is reserved for the student who is extremely efficient and organized in the clinical setting. This student must demonstrate outstanding interpersonal skills, impeccable professionalism, be an enthusiastic team member, and demonstrate deep commitment to self-directed learning. The high-honors student must prepare and present at least one didactic talk of very high caliber, with integration of information about basic mechanisms of disease, diagnosis, management, and lingering clinical and research questions. Honors: Honors is given to the student who demonstrates above-average fund of GI medical knowledge, excellent patient care skills, with above-average written and oral communication. The honors student must be efficient, easily able to handle one new consult each day, while maintaining close follow up of his/her other patients. This student must demonstrate excellent interpersonal skills, impeccable professionalism and be an enthusiastic team member. The honors student must prepare and present at least one didactic talk of above-average caliber, with integration of information about basic mechanisms of disease, diagnosis, management, and lingering clinical and research questions. Satisfactory: A grade of satisfactory is given to the student who demonstrates average to below-average fund of GI knowledge, average patient care ability with adequate oral and written communication skills. The satisfactory student should be able to handle one new consult most days, while maintaining close follow up of his/her other patients. This student must demonstrate adequate interpersonal skills, impeccable professionalism and be an enthusiastic team member. The satisfactory student must prepare and present at least one didactic talk of average caliber, with integration of information about basic mechanisms of disease, diagnosis, management, and lingering clinical and research questions Unsatisfactory: The grade of unsatisfactory is reserved for the student who has a poor fund of GI knowledge and demonstrates insufficient commitment to self-directed remedial learning. The unsatisfactory student has inadequate patient care skills, demonstrates poor communication or interpersonal abilities, and may be a reluctant and disinterested team member. A grade of unsatisfactory will also be given to the student with obvious lack of professionalism and integrity, or flagrant inability to use feedback to improve clinical practice.