The goal of Professor Rounds is to have students learn clinical reasoning using a case-based format. For each session a student will present a patient with a disease process based in a particular specialty (Cardiology, Pulmonary, GI, Renal, Rheumatology, Infectious Diseases, and Hematology/Oncology). Students are assigned to present on a given day (see schedule below). The two to four students who are assigned for a given day will decide which student has the best case to present. While one of the students does the presenting, one of the others will write on the board and perhaps help out with any general content knowledge. The presentation should be just like presenting on morning rounds (giving full HPI, PMH, meds, FH/SH, ROS, relevant labs/EKG/xray and assessment and plans).
A subspecialty attending will help run the session. These faculty members have been running these sessions for a number of years. They are all great clinicians and teachers. The attendings will stop the presentations often to ask the students in the audience for their thoughts (like what other questions they want to ask the patient, what is the differential diagnosis, what labs would they order, etc). So all in all, the students in the audience speak as much as (or even more than) the presenters.
From the beginning of the clerkship students should begin trying to identify a case for each session. Students presenting later in the clerkship should be able to find cases at the beginning of the second rotation. Students presenting earlier, however, need to keep their eyes and ears open for possible cases. The cases do not need to be complicated or anything rare. In fact, the more "bread and butter", the better. For example, for the cardiology session, possible cases might involve chest pain (or an actual MI), congestive heart failure or atrial fibrillation. For the pulmonary session, possible cases might involve asthma, COPD, pneumonia or pleural effusion. Students should contact Dr. Klipstein if they have questions about finding appropriate cases.
Once students have an appropriate case, they just need to prepare the H&P as usual and make sure they understand the clinical reasoning behind the assessment and plan. Again, the attending will be "pimping" (in a friendly way) the audience about the assessment and plans more than he/she will be pimping the presenters.
Please refer to the Google Calendar for a COMPLETE list of all lectures held during the Medicine Inpatient Clerkship.
|Sept 2||Tues||9:00-10:30||Klipstein||G100 Bondurant||Orientation|
|Sept 2||Tues||2:00-3:00||Klipstein||Clinical Topics|
|Sept 9||Tues||2:00-4:00||Klipstein||321 MacNider||EKG Lecture|
|Sept 12||Fri||12:00-1:00||Winzelberg||3074 Bondurant||Geriatric Lecture|
|Sept 15||Mon||2:00-4:00||Klipstein||18 MacNider||Diagnostic Reasoning|
|Sept 22||Mon||2:00-4:00||Klipstein||18 MacNider||Therapeutic Reasoning|
|Chest X-ray Lecture|
|Sept 26||Fri||9:30-12:00||Klipstein Exam||G10 Bondurant|
Block 3/4 - Month 2
|Sept 29||Mon||2:00-3:00||Klipstein||Clinical Topics|
|Oct 8||Mon||12:00-1:00||Yankaskas||321 MacNider||Pulmonary Disorders|
|Oct 8||Wed||2:00-3:00||Runge||Cardiology Disorders|
|Oct 13||Mon||2:00-3:00||Ma||Hem/Onc Disorders|
|Oct 15||Wed||12:00-1:00||Dellon||322 MacNider||Digestive Disease Disorders|
|Oct 21||Tues||1:00-2:00||Berger||321 MacNider||Rheumatology Disorders|
|Oct 22||Wed||2:00-3:30||Klipstein||Clinical Topics|
|Oct 24||Fri||12:30-4:00||NBME Shelf||508 Berryhill
Students not scheduled:
Students are to report back to the ward/clinic after Professor Rounds.
Again, students assigned to present a patient at Professor Rounds should consult with Dr. Klipstein at least several days in advance to plan discussions.