Clerkship Rotation Evaluation Results INTERNAL MEDICINE. Class Year: Service: Base: HF Wyandotte. Caseload and Management of Patients

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1 Class Year: 0 Caseload and Management of Patients In general, there was an appropriately diverse mix of patients (including race and ethnicity) seen on this service to meet the clinical training objectives. 7 7% 8 69% The amount of patient care responsibilities assigned to me were just about right for my current level of training. 5% 9 5% 50% I was given ample opportunity to become involved in learning about management of patient cases I felt supported and encouraged to offer my own differential diagnosis and treatment plan. 6 % 9 7% Expectations/Learning Objectives Standards for my expected level of performance (how I was to be evaluated) on this rotation were made clear to me at the outset. 5 On this rotation, the course protocol and its learning objectives were used by my preceptor to help me focus on content and/or skills that I was expected to master. 50% 0 There were adequate didactics on this service to enhance my existing knowledge base; i.e. conferences were scheduled regularly and occurred as scheduled. % 6% 0 The information presented on this rotation was presented at a pace and at a level that was consistent with my existing knowledge base. 9 5% 6 6% Resources There were sufficient educational resources (computers, books, journals, & other library materials) available to me on this rotation. 5 I had access to educational resources at times that were convenient to me. 0 5 The COM Unit III Website provided convenient access to course documents and materials related to this rotation. % 8 % 0 0% 6% Eval Data from: /9/0 to: 9/0/0 Page Print Date: /7/0

2 Class Year: 0 Osteopathic Principles and Practice On this service there were facilities and opportunities available to support learning about osteopathic manipulative medicine (OMM). 5% 7 7% 6 % 5 9% Faculty knowledgeable in the appropriate use of OP&P in case management were available to me as needed. % % 8 % 5 9% 5 9% I had opportunities to use OMM on this service. % % 50% 5% When seeking out opportunities to apply OMM, I felt supported by the faculty here. % % 0 7 7% Preclinical Preparation I could readily apply the basic science content I learned in Year to understand mechanisms of disease in my patients. 5% 6% 9 5% I could readily apply the systems biology content I learned in Year to understand patient presentation and appropriate diagnostic testing. 5% 6% 0 Supervision/Feedback I received timely feedback about development of my clinical skills (e.g. charting, physical exams, history taking, and DPR, etc.) On this service, I sought and received mid-rotation feedback to improve my performance. % 6% 0 % 5 On this service, there was always someone available to answer my questions when I had them % My H&Ps were reviewed and critiqued for content and completeness by a senior resident or attending regularly. 5 9% 9 7% Eval Data from: /9/0 to: 9/0/0 Page Print Date: /7/0

3 Class Year: 0 Professionalism I was treated as a professional by those supervising my student-physician role on this service. 5 9% 0 77% My supervising faculty on this service modeled physician-patient interactions on this service in ways I would like to emulate. 6 % 9 7% Issues of Professionalism were included as a point of discussion by faculty on this rotation Procedures I was permitted to observe code blue resuscitations when performed on this service. 5 9% % 0 6 % I was encouraged to write prescriptions (when indicated) for patients I saw on this service. 7 7% 6 6% I was encouraged to write admit orders on internal medicine cases being hospitalized. 8 % 5 5 I was encouraged to participate in night-call responsibilities as directed in the course protocol. 5% % 9 5% 0 I was given opportunities to interpret common lab and imaging tests. 5% 8% Eval Data from: /9/0 to: 9/0/0 Page Print Date: /7/0

4 Class Year: 0 Assessment Exams The post-rotation examination covered the core content areas as described in the course protocol. 9 5% 6% Having a post-rotation exam encouraged me to study and read. 6% 5% The first end-of-rotation exam with feedback helped me understand commonly seen diseases in internal medicine. 5 9% 0 8 % Overall Assessment This rotation offered a positive learning experience. 6 % 8 69% Taking everything into account, my experiences on this rotation stimulated my commitment to become an osteopathic physician Eval Data from: /9/0 to: 9/0/0 Page Print Date: /7/0

5 HF Wyandotte Caseload and Management of Patients Section Comments 0 The amount of patient care responsibilities assigned to me were just about right for my current level of training for the inpatient setting, but not the outpatient setting. Dr. Nakadar treated this rotation as a Sub-Internship, I really enjoyed it and gained a lot. Osteopathic Principles and Practice Section Comments Dr. Atto is an M.D. so no OPP was used. Dr. Lingam, especially, really encouraged us to use OMM. It was exciting! Overall Summary - Please complete the following sentences The most beneficial experiences, classes, assignments, or activities in all my on-campus MSU/COM courses/experiences, which facilitated my performance on this clerkship rotation, were: pharmacology and systems courses. respiratory/boards Courses and classes provided minimal assistance. All second year classes! Prior IM rotations cardiology and respiratory systems courses. Almost all the basic classes of second year were helpful. most all of the second-year classes were helpful. I cannot think of anything else in particular though there may have been other. How can this rotation be improved? What additional information would you like to see on the IM650 Angel Course? My only advice is to have Dr. Atto allow students to do more instead of shadowing. Would be nice if students had a bit more responsibility on the rotation. As opposed to having to see an admit together with an intern (which is what usually happened due to time constraints etc...), it would be nice to see a patient on my own and come up with my own assessment and plan, present to the intern, discuss my assessment and plan, follow the intern when he/she is seeing the patient and then discuss with the attending! At HF wyandotte, since there is no internal medicine residency, the rotation is kind of lax. If possible, all students should be sent to do at least a month of IM at HF-Main in downtown. It's simply not fair for students at HF wyandotte to not get a REAL feel of what medicine is like. The hours here were 8-5 and night call went until 9pm. It's not fair to be given a downgraded version of medicine. It's up to MSUCOM to ensure that all students are given an experience that is worthwhile. Also, the medicine didactics here are horrendus. Once a week, we meet for two hours (if anyone bothers to show up). The lectures are short and there is not really a good opportunity to ask questions during didactics. Something has got to be done about these didactics. The medicine didactics really are very sub-par here. The OMM didactics (once a month for hours) are good. Nothing in particular. Nothing in particular. Eval Data from: /9/0 to: 8//0 Page March 7, 0

6 The thing(s) I like most about this rotation was (were): Dr. Pervez is a wonderful attending to learn from. He encourages students to be active and practice responsibilities of a resident. One of my best rotations so far. He has such an easy going personality & never yells at you. the quality of instruction and knowledge base of attending physicians. Dr. Atto is a genious and always stops to teach you. I highly recommend him to other students. Dr. Atto is a great physician. There was a good mix of inpatient and outpatient cases. The attending physicians were excellent teachers! When I got to see patients by myself and write my own assessment and plan that I could later discuss with the intern and attending. learning from the interns and getting to do my own H and Ps. Dr. Nakadar was a great teacher. He gave students a great deal of responsibility. Dr. Nakadar gave the students real responsibility. I liked the autonomy I had working with Dr. Nakadar. He really allowed us to be intimately involved in our patients' care. I liked getting opportunities to work with my own patients and write notes and practice writing orders. Overall, great rotation. Eval Data from: /9/0 to: 8//0 Page March 7, 0