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DEPARTMENT OF MEDICINE
NEPHROLOGY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  One (1).

LENGTH OF ROTATIONS.  Four (4) to eight (8) weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  No.

LEVEL OF STUDENTS ACCEPTED  Fourth year.

TIME OF YEAR OFFERRED.  July through September.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS).
  • Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
  • All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “Request for Approval of Clinical Clerkship Training.”
  • USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
  • The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • Know the ten clinical syndromes of nephrology, their diagnostic criteria, and algorithmic evaluation.
  • Predict age-adjusted CCr.
  • Differentiate among the various causes of polyuria.
  • The Nephrology rotation is composed of a good balance between inpatient and outpatient experiences.
    • The Nephrology Outpatient Clinic meets formally two half-days per week.
      • Other outpatients may be scheduled to fill gaps during lulls in inpatient consultations.
      • Hemodialysis Clinic meets half-day each week. This allows exposure to patients with ESRD.
    • Inpatient consultations come from all hospital services, including the Intensive Care Units.
      • During a typical rotation, students will be exposed to patients with problems encompassing the educational objectives. This allows one to read, see, and feel typical problems in Nephrology.
      • A unique feature of this rotation is the specialized one-on-one attention given by the attending physician.
      • The participant will also become facile with performing the urinalysis.
  • The medical student is directly supervised by the attending physician.

FREQUENCY OF CALL.  There are no call or weekend responsibilities.

REQUIRED READINGS.  Student will be given a syllabus of recommended readings as necessary to satisfy educational objectives.

OTHER REQUIREMENTS.

  • Be present during normal duty hours, 0900 to 1700 (9:00 A.M. to 5:00 P.M.), Monday through Friday, or as determined by Chief, Nephrology Service.
  • Participate in Nephrology Outpatient Clinic and Inpatient Consultation service to see new and follow-up patients.
  • Attend all Nephrology Conferences and Rounds.
  • Maintain xeroxed copies of all new patient evaluations performed on the service (eight to ten new patient evaluations/rotation is desired).
  • Give a 20-minute lecture on a topic of choice.
  • Review orientation to the Nephrology Service elective.
  • Complete the Nephrology In-Service examination.
  • Maintain Nephrology rotation checklist and turn in at completion of rotation.
  • Participate in end of service evaluation.

HOW ARE STUDENTS EVALUATED?

  • The medical student is evaluated through review of consultations (both oral and written).
  • Participation in rounds and conferences.
  • Ability to organize and present information in lecture format and written examination.

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