University of Global Health Equity Advanced Medicine Elective

INT 501M.J Subject & Catalog Number

Description

This is an Advanced Medicine Elective for University of Global Health Equity (UGHE) students through the Paul Farmer Collaborative designed to provide a clinical rotation for senior UGHE students that builds on their curriculum in Rwanda. Students will be assigned to 4 weeks of inpatient service at Brigham and Women’s and Brigham and Women’s Faulkner Hospitals. Students will participate in daytime shifts with no overnight call. The Advanced Medicine Elective is a clinical experience designed to build upon patient interaction and clinical decision-making skills learned and practiced in the junior clerkship, now with a focus on disease management and comprehensive patient care. Students will be responsible for 2-4 general medicine patients under the supervision of an intern, resident and/or attending physician. Patients are admitted for the evaluation and subsequent management of a wide range of acute and emergent medical illnesses. Students will be integrated into the ward team and will manage patients from admission to discharge. Students will be expected to interact with a supervising physician in all aspects of patient care. Bedside teaching on rounds will be devoted to interview and physical examination skills, interpretation of primary data, problem formulation, and clinical reasoning. In addition to participating in the full complement of housestaff conferences, students will meet with faculty for seminar-based discussion of specific topics related to US healthcare, and didactic sessions that emphasize approaches to solving common clinical problems. Didactic sessions will be taught by course directors, faculty from the division of global health equity, attending physicians, and residents. Feedback will be provided to the students on a regular basis with a mid-month and end of month review of performance. The criteria for evaluation include clinical knowledge and skills in history taking, physical examinations and differential diagnosis. All students are evaluated by course directors, attending physicians, and house staff based on EPAs. Learning the skills and standards of professional conduct and responsibility form important components of student evaluations.