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Internal – Family Medicine
Clerkship Contact :
Clerkship Director
Dr. Maria Cannarozzi, MD
UCF College of Medicine
6850 Lake Nona Blvd
Suite 410L
Orlando, FL 32827
Office phone – 407-266-1157
Email – maria.cannarozzi@ucf.edu
Clerkship Coordinator
Ken Staack, MEd
Florida Hospital – South
2501 North Orange Avenue
Suite 235
Orlando, FL 32804
Office phone – 407-303-3667
Email – ken.staack@ucf.edu
Clerkship Goals and Objectives
By the end of the clerkship students will be able to:
1. Perform and document a complete history and physical examination of the adult patient in a logical, organized, respectful, and thorough manner
2. Create a differential diagnosis based on the findings from the medical history and physical examination
3. Formulate an initial and ongoing therapeutic plan of care for assigned patients with common medical diagnoses/symptoms:
- Abdominal pain
- Acute infection
- Alcohol/substance abuse/dependence
- Anemia
- Allergies
- Asthma (chronic cough/wheeze)
- Back pain
- Benign prostatic hypertrophy
- Biliary/pancreatic disease
- Breast disease
- Cancer (breast/lung/skin/colon/prostate)
- Chest pain
- Chronic or acute pelvic pain
- Cirrhosis/end-stage liver disease
- Congestive heart failure
- COPD/emphysema
- Coronary artery disease
- Delirium/dementia/altered mental status
- Depression
- Diabetes Mellitus
- DVT/PE/hypercoaguable state
- Dyslipidemia
- Dyspnea/respiratory distress
- Electrolyte or acid/base disorder/dehydration
- Fatigue
- Fever, bacteremia, sepsis
- Esophageal reflux disease
- Gastrointestinal bleed
- Headache
- Hypertension
- Insomnia
- Joint/limb pain/injury
- Menopause
- Nausea/vomiting
- Noncompliance with medication regimen
- Obesity
- Osteoarthritis
- Osteoporosis
- Pain management
- Peripheral vascular disease
- Renal insufficiency/failure
- Sexually transmitted infection
- Skin disorder/problem
- Thyroid disorder
- Tobacco abuse
- Urinary incontinence
- Upper respiratory infection
- Urinary tract infection
- Vaginitis, candidiasis, trichomoniasis
- Weight management and nutrition
4. Demonstrate ability to orally present a new or established inpatient or outpatient case in logical and accepted sequence
5. Document inpatient and outpatient progress notes in a manner that includes appropriate data and reflects clinical decision-making process
6. Interpret common tests and procedures ordered in the care of the adult medical patient:
- Common serum chemistries, lipid profiles
- Blood culture
- Arterial blood gas
- Electrocardiography
- Chest radiography
- Throat culture
- PAP smear
- Digital rectal examination
- Urine dipstick
- Stool occult blood testing
- Wound culture
- PPD placement
- Screening mammography
- Bone mineral density
- Prostate specific antigen
7. Perform the following clinical skills:
- Pap smear and pelvic examination
- Breast examination (female patient)
- Digital rectal examination
- Testicular examination
- Counsel patient(s) regarding therapeutic lifestyle issues: safe-sex practices, smoking cessation, alcohol abuse, weight loss, healthy diet, exercise
8. Demonstrate understanding of common procedures, including indications, procedure, risks, interpretation of results:
- Lumbar puncture
- Thoracentesis
- Abdominal paracentesis
- Central venous catheter placement
- Endotracheal intubation
- Cardiopulmonary resuscitation
9. Discuss basic principles of medical ethics as they specifically relate to care of individual patients
10. Participate (observe, assist or perform) in a discussion about advance directives and informed consent with a patient
11. Perform a computerized literature search to find articles pertinent to a focused clinical question and present information to colleagues
12. Discuss preventive health care issues for adult patients, including rationale and indications for each :
- Breast cancer screening
- Cervical cancer screening
- Colorectal cancer screening
- Prostate cancer screening
- Bone mineral density evaluation
- Serum lipid screening
- Blood pressure screening
- Fasting serum glucose screening
- Vaccination schedules
- Risk modification /therapeutic lifestyle changes
13. Discuss the role of team members, consultants and other key personnel in the care of the patient
14. Demonstrate ability to recognize and respond to system flaws in the delivery of care
Clerkship Resources:
Clerkship Handbook
Commendation Form
Early Warning Form
Student Performance Evaluation