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DEPARTMENT OF MEDICINE
NEPHROLOGY CLERKSHIP

MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE.  One (1) or Two (2) on a case by case basis.

LENGTH OF ROTATIONS.  Four (4)weeks.

WILL TAKE STUDENTS FOR TWO WEEKS ONLY?  No.

LEVEL OF STUDENTS ACCEPTED  Third and Fourth years.

TIME OF YEAR OFFERRED.  Flexible start dates throughout the year, excluding December.

PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.

  • Yes.
  • Offered primarily to medical students with an Army obligation (HPSP and USUHS) and University of Hawai'i and A.T. Still University School of Osteopathic Medicine in Arizona.
  • All students (except USUHS and University of Hawai'i) will apply using the Clerkship Application form.
  • USUHS fourth year students will apply using USUHS Form No. 1304.
  • The Student Coordinator will obtain permission from the appropriate clerkship official upon receipt of the application/form and will then inform the student of approval/disapproval via e-mail.

OBJECTIVES/DESCRIPTION OF CLERKSHIP.

  • Know how to diagnose and treat glomerular disease.
  • Know how to evaluate and treat acute kidney injury.
  • Know how to evaluate and treat the various levels of chronic kidney disease.
  • Understand the evaluation and management of hypertensions.
  • Know the basic evaluation and management of electrolyte abnormalities.
  • Know the basic evaluation and management of nephrolithiasis.
  • 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.
    • 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, 0730 to 1530 (7:30 A.M. to 3:30 P.M.), Monday through Friday, or as determined by Chief, Nephrology Service.
  • Attend Department of Medicine daily morning report, 0730 to 0800 (7:30 A.M. to 8:00 A.M.).
  • Participate in Nephrology Outpatient Clinic and Inpatient Consultation service to see new and follow-up patients.
  • Attend all Nephrology Conferences and Rounds.
  • Review orientation to the Nephrology Service elective.
  • 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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