VCU Internal Medicine Training Program
Student Health Resident Curriculum
PGY3 (2 week rotation)
Revision Date: 7/29/07
Revised by: Stephanie Call, MD
Purpose
Learning Objectives
How Learning Objectives are Met
Required Reading/Resources
Expectations
Evaluation
Contact
Resident Schedule
Printable version of the curriculum (pdf)
Purpose:
University Student Health Services (USHS) is one of only 27 college and university student health services in the nation accredited by the Joint Commission on Accreditation of Health Care Organizations. Our staff members are highly qualified primary care practitioners committed to students and experienced in the health problems of young adults. In addition to diagnosis and treatment of illness, student health focuses on prevention of illness and promotion of good health through screening, counseling, and education.
During this rotation residents not only see undergraduate and professional students in the general student health clinic but also see patients in the Women’s Health Clinic under the supervision of a nurse practitioner. They also attend a peer educator class, which covers education by students to students of issues regarding sexuality, contraception, and sexually transmitted diseases. Residents are given a copy of the USHS Women’s Health Handbook, which has detailed information regarding all aspects of office gynecology in the reproductive age-group women.
Learning Objectives
At the end of the rotation, residents will be able to:
- Patient Care:
- Complete an age-appropriate and complaint-appropriate evaluation (history and physical examination), covering the important psychosocial issues typically encountered in this population
- Provide appropriate patient counseling for this population
- Recognize, assess, and manage common conditions seen in young adults in primary care
- Recognize, assess, and manage consequences of sexual behavior in the young adult population
- Medical Knowledge:
- Describe the purpose, process, and content of health supervision visits for adolescents
- Discuss the need for and content of preventive health education/anticipatory guidance for adolescents and their families
- Be familiar with the following topics and how these diseases present and are managed in this population:
- School and sports annual assessments
- Adolescent Sexuality – including heterosexuality, homosexuality, contraception and pregnancy
- Gynecology – including dysmenorrhea, PMS, virilism, hirsutism, amenorrhea, galactorrhea, cervical cancer screening, breast masses
- Infectious diseases, including sexually transmitted diseases and disease prevention counseling
- Dermatologic conditions
- Young adult psychosocial disorders – including anorexia nervosa, bulimia, antisocial behavior, depression, suicide
- Obesity
- Cardiovascular disease – including hypertension
- Lipid disorders
- Hematologic disorders
- Pulmonary diseases – including asthma
- Endocrine diseases – including diabetes mellitus and thyroid dysfunction
- Gastroenterology diseases – including functional GI disorders and chronic inflammatory bowel disease
- Health maintenance
- Practice-Based Learning and Improvement:
- Demonstrate their ability to function as self-directed adults learners through their interactions with the assigned preceptor, performing literature searches when necessary to answer clinical questions that arise in the adolescent clinic setting
- Become familiar with evidence-based resources specific to managing this patient population
- Interpersonal and Communication Skills:
- Demonstrate the ability to establish rapport with and appropriately communicate health messages to young adults
- Create ethically sound relationships with young adult patients, as well as with colleagues and support staff
- Professionalism:
- Demonstrate respect and compassion through interactions with colleagues, patients and their families
- Demonstrate the principles of professionalism during clinical encounters, including showing sensitivity for the multiple issues facing young adults
- Show respect for the role of the patient as a decision-maker in health care
- Systems-Based Practice:
- Identify resources in the community and in the academic environment that enable optimal and well-rounded care for persons in this age group
- Work effectively with the interdisciplinary team to provide optimal care for the patients seen in this setting
How Learning Objectives are met:
- Direct patient care in the student health clinic, supervised by a student health specialist
- Interaction with consultants and support staff
- Participation in evidence-based discussions during clinical care
- Literature searches to answer clinical questions that arise on during patient care, review of these literature searches
- Interaction with the interdisciplinary health care team
- Assigned readings
Required Reading/Resources:
- USHS Women’s Health Handbook, latest revision
- http://www.students.vcu.edu/health/
Expectations:
- Attendance and punctuality for all patient care activities. Call the CMR on call to report acute illness of personal/family emergency requiring absence.
- Completion of patient documentation
- Professional behavior at all times with staff, peers, consultants, patients and families
- Attendance at Internal Medicine required conferences and continuity clinics
Evaluation:
- Dr. Roberson and the supervising clinicians in student health will evaluate residents electronically via New Innovations. These evaluations should be discussed in person with the resident. There should be regular formative feedback from supervising attendings regarding performance.
- Residents will evaluate supervising attending faculty electronically via New Innovations.
- Housestaff log procedures performed via New Innovations. Attendings, or other supervising physicians, documents satisfactory performance through the electronic procedure logger on New Innovations.
Contact:
- Course Master & Medical Director:
Pager: 1740 - Rotation Contact:
(Clinic Manager and Rotation Scheduler)
Phone: 828-8828, press 1 - Directions to the Clinic:
The VCU student health clinic is located on the academic campus in the Sports Medicine Building at 1300 W. Broad St, Suite 2200. (This building is adjacent to the Siegal Center.) - Parking:
West Broad Street Parking Deck at 1111 W. Broad St.
Resident schedule:
- Schedule: Monday-Friday: 9:00 am to 12:00 pm and 1:00 pm to 5:00 pm (except when resident is in continuity clinic)
