Credits: 4.00 CREDITS (Clinical Elective)
Sites: BWH
Directors: Seifter, Julian Lawrence
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month, not offered in July and April
Open to Exclerks: Yes (may be restricted for international students)
The course is designed to give students a well-rounded exposure to the principles and practices of nephrology, with major emphasis on renal physiology, patho-physiology, hypertension, immunology,ICU nephrology
transplantation and dialysis. Students will participate in rounds, conferences, clinical sessions and didactic exercises. Students will work with renal fellows, medical residents and staff attendings. Particular emphasis will be given to problem-solving of disorders of fluid and electrolyte, as
well as acid-base, metabolism. Joint sessions will be conducted in renal pathology and radiology. There is no night or weekend schedule.
Learning Goals:
To learn the approach to the Kidney patient, including history, physical exam and laboratory evaluation. Understand and recognize urgent and non-urgent indications for renal replacement therapy.
To relate basic preclinical science to the clinical setting and to expand an understanding of renal diseases.
To understand the role of the kidney in systemic diseases.
To understand and develop competence in fluid and electrolyte therapy and the approach to management of nephritic and nephrotic patients.
Incorporation of Basic Science Content and Evidence-Based Medicine:
At the level of bedside teaching , rounds and through our journal club in which renal faculty review important clinical trials. Guest speakers as well.
Students will be evaluated by the Course Director and staff attendings based on observation of professional behavior, including interactions with patients, families, nurses and all staff in the hospital, interest in seeing patients, responsibility and accuracy in following patients, efficiency and quality of history, exam,presentation on rounds and chart notes. Students will be expected to follow all patients and read on subjects either suggested by the fellow or attending or on students own initiative and to present on rounds. Students will be expected to attend all grand rounds events (teleconference with MGH), journal club, fellows didactic conferences. Evaluation will be based on extent of involvement in teaching rounds and patient care.
Grade Criteria:
High Honors:
Outstanding in all categories of clinical performance including initial workups and followup, notes and presentations. In addition, HH requires an extra outstanding contribution such as a presentation or by taking a lead in a teaching session. Must have outstanding clinical skills and demonstration of outstanding preclinical knowledge. This student would be highly recommended for a residency position.
Outstanding clinical skills and demonstration of excellent to outstanding preclinical knowledge. Excellent effort and level of interest.
Good to very good skillsets, but someone who would need to improve either fund of knowledge or clinical skills. May be someone who was more passive but knowledgeable but did not go the extra mile.
Someone who either demonstrated lack of interest, poor attendence, poor knowledge base, deficient skills or behavior in the hospital.
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