ME521M.3

Renal and Electrolyte Disorders

Sites: MGH
Director(s): Alberto Puig, David Steele
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month. Not offered July. Closed to Exclerks in December.
Location: MGH - Mass. General Hospital (3)
Open to Exclerks: Yes (may be restricted for international students)
Description: The course will enable students to gain skills and confidence in the management of patients with renal diseases and electrolyte disorders. In particular, an opportunity is provided to apply principles of pathophysiology to patient care. Students participate actively in all clinical activities of the Renal Unit, including daily rounds on service and private patients and consultations throughout the hospital. Regular conferences include: Renal Grand Rounds, Fellows' Seminar, Journal Club, Renal Pathology Conference. Students may participate in conferences and activities of the Dialysis and Transplantation Units. Student run seminars are also held. Students will be assigned to the inpatient consult service as their primary designation. The consult service includes the supervising Attending Physician, Ward Consult Renal Fellow, ICU Consult Renal Fellow, and on some months Medical Residents on elective rotation. Students will perform consultations based on availablity but usually at least one a day. Consults will will be performed in coordination with the Renal Fellow and the student will present his or her findings, both written and oral, to the attending each day for review and feedback. The attending physician will supervise each students work on a daily basis and will provide ongoing feedback about the students performance. Students will participate in daily conferences designed to improve clinical decision making. Students will attend weekly rounds and conferences designed to enhance their knowledge in the principles of Clincal Nephrology. Students will be expected to give at least one comprehensive talk during the month about a patient focused problem with particular emphasis on the practice of evidence based medicine and understanding basic science and physiology as it applies to a clinical problem.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Discussing basic science applications in the clincal context is a key part of daily teaching conferences which are case based and incorporates literature review and basic physiological principles related to kidney structure and function
Grade Criteria:
Honors with Distinction: Students in top 5% performance metric based on Supervisor assessment Honors: Students in top 20% performance metric based on Supervisor assessment Satisfactory: Students in top 75% performance metric based on Supervisor assessment Unsatisfactory: Students below 25% performance metric based on Supervisor assessment