Department of Medicine Rotation Curriculum

TOTAL # WEEKS = 9   TOTAL # HOURS = 30   DIDACTIC/CLINICAL

This rotation will provide for formal didactic training in physical diagnosis and Medical Risk Management. This training shall include the following:

1. The residents shall be under the supervision of the Director of the Department of Medicine.

2. During the resident's rotation in the Department of Medicine, it is expected that he/she will have an opportunity to participate in rounds with the attendings in both a learning and consulting capacity.

3. It is expected that the residents will become familiar with a good variety of systemic diseases and gain knowledge in not only the treatment of illnesses but also in the specific dental management of such patients. Hopefully, the following important areas will be covered so that the resident will be competent to provide dental care for patients falling into these categories.

• Diabetes
• HIV patient and their various complications
• Patients undergoing chemotherapy
• Cardiac patients/Hypertensive patients
• Pulmonary patients
• Renal patients
• Liver Patients

4. The resident shall learn to perform H&Ps during this rotation. Said H&Ps shall include the following:

• CHIEF COMPLAINT: The patient's reason for seeking medical service. A question of a general nature is frequently necessary. "What can I do for you?" "Please tell me about your trouble."



• HISTORY OF PRESENT ILLNESS: A full account, in the patient's own terms of his/her illness. All facts believed associated with the complaint should be brought out and the patient should be encouraged to give his/her feelings about the symptoms. Avoid rambling. A patient who has several complaints should be asked which seems to be the most important. Next, interview should proceed methodically to analyze the complaint within the following framework: mode of onset and chronology; location and if applicable, radiation of the symptom; character (or quality) of the symptoms; intensity (or quantitative aspects) of the complaint; prescriptions or aggravating factors; environmental factors; environmental factors; personal or relevant family medical history pertaining to the complaint and evolution of the illness and it's effects on the patient.



• PERSONAL AND PAST MEDICAL HISTORY: Information about previous illnesses, operations and accidents, preferably in chronological order, with the dates and locations of occurrence, the name of the physician involved, and the treatment applied.



• SOCIAL HISTORY: Occupation, marital status, habits (smoking: amount, time; drinking: amount, time) .



• FAMILY MEDICAL HISTORY: The health of family members should be ascertained. Diseases with hereditary or environmental factors should be mentioned specifically. Knowledge of the ethnic origin of the parents and of any consanguinity may me important.



• REVIEW OF SYSTEMS: At this point, the interviewed specifically checks each system from head to extremity to make certain that neither physician nor patient has overlooked any symptom of sign or significance.



1. Basis Procedures
2. Skin
3. Head and Neck
4. Eyes
5. Ears and Nose
6. Oral Cavity and Pharynx
7. Chest
8. Heart
9. Peripheral Vascular System
10. Abdomen
11. Musculoskeletal System
12. Nervous System



• At the end of this rotation, residents will be asked to evaluate the program. Summarize what they have learned, and make suggestions as to how the program might be improved.