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 (Pulmonary, Digestive Diseases, Renal, 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 one best case to present. While only one of the students does the actual 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 clerkship-specific lectures held during the Medicine Inpatient Clerkship.
Block 5 – Month 1
Block 5 – Month 2
Students not scheduled: If your name is not listed for a lecture date above, you will not be assigned to a date. There is no penalty for not being assigned to a lecture date.
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.