SOM Elective Brochure

Electives Type:  Clinical

Elective Title
Clinical Gastroenterology in Austin
Course Number
Prerequisites: Successful completion of Year 2 
      Additional Requirements:
Successful completion of the Internal Medicine Clerkship.
Responsible Faculty Director:
Jessica Trevino, M.D.
Other Faculty:
Location to Report on First Day
Contact Judy Terlik at or 512-324-7860
Periods Offered
including Period 12 (June), including the holiday vacation Period 13 (Dec)
Maximum Enrollment

 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.

 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. Visiting students should submit an application through VSAS: 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


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?
  C. Format - What method(s) are used to document the student's clinical performance?
    Daily oral feedback   End of period oral feedback   Written feedback

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Faculty and residents.
  B. Frequency / duration of presentation(s)?
  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)?
  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
    Oral   Written multiple choice   Written essay / short answer   OSCE

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.
7.  If this course is an Acting Internship, please complete the following:
  A. Specify how the student will be given formative feedback on their clinical skills.
B. List advanced clinical skills that a student will be assured an opportunity to practice.
C. List other advanced clinical skills that a student may be exposed to depending on clinical case availability.
  D. How will the acting intern student have responsibilities similar to a PGY1 resident? How will their responsibilities differ?
  E. How will this course help prepare a student enter an internship in this field or a related field?
  F. How will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
  G. Acting Internship students often seek letters of recommendation following their experience. How many different faculty are they likely to encounter during this course? What is the usual number of working days they can expect to encounter the same individual faculty member? Describe the degree of supervision and interaction with faculty vs. residents or other providers.