SOM Elective Brochure
 

Electives Type:  Clinical

Elective Title
Clinical Gastroenterology in Austin
Course Number
MEDU-4020
Duration/Weeks
4
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of the Internal Medicine Clerkship.
Responsible Faculty Director:
Jessica Trevino, M.D.
Other Faculty:
Inter Singh, M.D.
Location to Report on First Day
7:45 AM, Internal Medicine Offices
Periods Offered
1-13
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment
1

Goals
 The Gastroenterology Elective rotation provides the student with the opportunity to increase his/her knowledge of common diseases affecting the gastrointestinal tract, the liver, biliary tract, and the pancreas. These include specifically reflux esophagitis, peptic ulcer disease, malabsorption syndromes, inflammatory bowel disease, colonic polyps, gastrointestinal malignancy, acute and chronic liver and pancreatic disorders. Skill in diagnosis and management will be improved through participation in our active consultation and endoscopy service. Many weekly conferences are held, allowing the student to be exposed to primary instruction in pathology, radiology and case management of the patient with GI or liver disease.

Objectives
 1. The student will be able to elicit and evaluate the history and physical examination findings of the most common gastroenterologic and hepatobiliary disorders. 2. The student will become familiar with the indications, contraindications, and techniques used in gastrointestinal endoscopy including gastroscopy, colonoscopy, endoscopic retrograde cholangiopancreatography, and flexible sigmoidoscopy.

Description of course activities
 1. Students will evaluate patients for gastroenterology consults. They will be supervised by fellows or residents and the cases will be seen and discussed by gastroenterology faculty. Students will see no more than 1 or 2 consults on any given day so that they have time to read about their patient(s). Further, on this elective, students will be out of the hospital by 5:00 or 6:00 pm. 2. Students will observe diagnostic endoscopic procedures. 3. Students will see patients in Gastroenterology Clinics with each case presented to and discussed by faculty. 4. Students will attend the Division Conferences including G.I. Pathology Conference, G.I. X-Ray Conference, Journal Club, and multi disciplinary Conference.

Type of students who would benefit from the course
 The Gastroenterology rotation will be useful to any student entering a primary care specialty including most notably Internal Medicine, Family Medicine, General Surgery and Gynecology. It is also particularly useful for those planning a career in Radiology. To enroll, UTMB students should submit a C-form to Tricia M. McElligott via e-mail at tmmcelligott@seton.org or fax at 512-324-7988 for approval. Visiting students should submit an application through VSAS: https://services.aamc.org/20/vsas/public/school/instID/174 Select UTMB at Galveston as the host institution and indicate you wish to take MEDU 4020 on the application.

Weekly Schedule
  Clinical Activities (please insert estimated schedule here)
   
  Day of Week AM PM
  Monday 7:00 AM 5:00 PM
  Tuesday 7:00 AM 5:00 PM
  Wednesday 7:00 AM 5:00 PM
  Thursday 7:00 AM 5:00 PM
  Friday 7:00 AM 5:00 PM
  Saturday off off
  Sunday off off
       
  Average number of patients seen per week: 7  
  Call Schedule:   n/a  

  Research Activities (please insert estimated schedule here)
   
  Activity Hours per Week
  Faculty contact time

  Self-directed study

  Data collection/analysis

  Other


Method of student evaluation
Check all that apply - complete appropriate section(s) only:
1.  Clinical Observation
  A. Where are students observed on this elective?
    Inpatient service   Ambulatory   Surgery   Standardized patients
Patients simulators   Other
  B. Frequency - How often are students observed clinically?
    Daily.
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback
Other

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty and residents.
  B. Frequency / duration of presentation(s)?
    Daily.
  C. Format - What guidelines are set for the student's presentation?
    Clinical rounds and conferences.
  D. Assessment - Who assesses the student's presentation performance?
    Self-assessment   Peer assessment   Faculty assessment
  E. Method of content selection
    Current cases  Student-selected topic   Assigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    Daily.
  B. Format - What guidelines are set for the student's written work?
    H&P's, patient notes.
  C. Length of written assignment(s)?
    Abstract   Annotated bibliography   1 - 2 page paper   3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Related to cases.
  F. Audience - Who assesses the studentís written performance?
    Peer Assessment     Faculty Assessment     Other

4.  Examination
  Format
    Oral   Written multiple choice   Written essay / short answer   OSCE
Other

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students must actively participate in all aspects of the rotation including daily consult rounds, conferences and clinics. Students will work one-on-one with the GI fellows and present patient information to both faculty and fellows.

6.  Other Modes of Evaluation
  Please explain below.
    Students are evaluated by the attending staff with input from division fellows and residents.

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