VCOM College Catalog and Student Handbook

• (MED 8020) Clinical Family Medicine: 4 credit hours The Family Medicine rotation is primarily done in the ambulatory setting, however, will often include experiences accompanying the faculty member in the inpatient setting, nursing home or minor care. Family Medicine is a specialty where students can learn to diagnose and manage common acute and chronic conditions, which present to the primary care setting. Students will also learn to discriminate emergent ambulatory conditions from non-emergent. During the rotation, students should begin to acquire the essential knowledge to practice cost effective outpatient health care, often in a rural setting. Depending on the practice, students may also be exposed to the hospital setting providing care to the patients of the family medicine physician. Because family medicine has the unique distinction of providing continuity of care for the entire family ‘from birth to death’, students will be expected to have a variety of ambulatory exposures including general medical cases, pediatric cases, geriatric cases, office surgical procedures, osteopathic manipulative medicine and common mental health disorders. Students should also acquire skills in preventive medicine for male and female patients of all age groups according to the United States Preventive Services Task Force (USPSTF). The student should also have exposure to the business of medicine in the ambulatory setting. • (MED 8025) Family Medicine Modules: 1 credit hour The student completes a minimum of 20 family medicine reading assignments and/or clinical modules that will cover those items most often seen in the primary care ambulatory setting. Each module should take approximately one to two hours to complete. • (MED 8040) Clinical Internal Medicine I: 4 credit hours The Internal Medicine rotation primarily occurs in the hospital setting. However, the rotation may occur where hospital medicine is predominate but mixed with a smaller amount ambulatory medicine experiences such as with faculty who are hospitalists or “house medicine” if working with a residency program. Regardless of setting have the goal of introducing the most common conditions patients are cared for by their internal medicine physician in the acute care setting. In this setting, students learn to diagnose and manage common acute medical conditions that are present in both the inpatient settings. Medical students must learn to discriminate emergent conditions from non-emergent ones. Students should begin to acquire the essential knowledge to practice cost effective health care and standards of care. • (MED 8045) Internal Medicine I Modules: 1 credit hour The student must complete a minimum of 20 internal medicine reading assignments and/or clinical modules that will cover those items most often seen in the Internal Medicine setting (both inpatient and outpatient). Each module should take approximately one to two hours to complete. • (MED 8050) Clinical Internal Medicine II: 4 credit hours This Internal Medicine rotation is most often completed in a setting that includes both hospital acute care medicine and ambulatory care medicine experiences. All experiences, regardless of setting have the goal of the most common medical conditions not seen or covered in the Internal Medicine I rotation; therefore, the IM II rotation varies by regional site. To avoid redundancy assigned reading topics are removed where they are also covered in Internal Medicine I or Family Medicine. In this setting, students learn to diagnosis and manage the most common acute and chronic medical conditions that are present in both the inpatient and outpatient setting. This rotation may be general medicine or specialty based as long as it includes an adequate number of general medicine case exposures. Students must also learn to discriminate emergent conditions from non-emergent ones. Students should begin to acquire the essential knowledge to practice cost effective health care and standards of care. • (MED 8055) Internal Medicine II Modules: 1 credit hour The student must complete a minimum of 20 internal medicine reading assignments and clinical modules that will cover those items most often seen in the Internal Medicine setting (both inpatient and outpatient not including those in 8345). Each module should take approximately one to two hours to complete.

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