"Generalist" Medicine Pathway
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"Generalist" Medicine Pathway |
The Department of Medicine offers a Discipline-based Pathway for senior students who have a focused interest in Primary Care. The pathway is designed to assist students who are considering a career in general Internal Medicine. The Pathway will allow students to learn about a career in Primary Care by focusing on ambulatory experiences while also gaining exposure to inpatient and critically ill patients.
Pathway Director and Site Coordinator
Drexel University College of Medicine
Amy Fuchs, M.D.
Hahnemann University Hospital
Broad & Vine, Mail Stop 427
Philadelphia, PA 19102-1192
(215) 762-7296 Phone
(215) 762-3869 Fax
Amy.Fuchs@drexelmed.edu
Coordinator: Kate Lewyckyj
(215) 762-7296 Phone
(215) 762-3869 Fax
klewycky@drexelmed.edu
Associate Pathway Directors
Joseph Boselli, M.D.
Hahnemann University Hospital
Broad & Vine, Mail Stop 427
Philadelphia, PA 19102-1192
(215) 762-7296 Phone
(215) 762-3869 Fax
jboselli@drexelmed.edu
Howard Miller, M.D.
Hahnemann University Hospital
Broad & Vine, Mail Stop 427
Philadelphia, PA 19102-1192
(215) 762-2514 Phone
hmiller@drexelmed.edu
The "Generalist" Medicine Pathway has been structured in the senior medical student year to emphasize General Internal Medicine and ambulatory care. This pathway will introduce the student to the concepts and rewards of "generalism." The student will gain experience in General Internal Medicine ambulatory care in addition to other specialty and subspecialty procedural ambulatory care activities through the choice of specific elective courses.
Click here for a summary table of the "Generalist" Medicine Pathway.
Subinternship in Medicine
See the description of the Subinternship
in Medicine included in the required coursework for all pathways.
Neurology Required Course
See the description of
the Neurology Course included in the required coursework for all
pathways.
Ambulatory Care Rotation
A specific four-week block assignment will be in the ambulatory care facilities in the Philadelphia area. The student will work for the entire four weeks in the outpatient office practice in the Philadelphia area. Emphasis is placed on topics such as: principles and practice of preventive medicine, the physician's office practice, focused patient encounters in the ambulatory setting, care of acute and chronic illness, interviewing skills, doctor-patient relationships, health delivery systems and cost-effectiveness.
Subinternship in MICU, CCU or Emergency Medicine - Strongly Recommended
Students are encouraged to take a second subinternship in either the Medical Intensive Care Unit, the Cardiac Care Unit or the Emergency Department. This will enable students to gain experience with more critically ill medical patients. This experience is especially important in preparation for beginning Internship in Internal Medicine.
Ambulatory Care Non-Medicine Specialty - Recommended
It is recommended that students in this pathway further explore primary care medicine by selecting a second four-week non-medicine ambulatory care rotation such as Gynecology, Ophthalmology, Otorhinolaryngology, Dermatology, Urology, Psychiatry, Physical Medicine and Rehabilitation, etc. Students may also opt for two-week experiences.
Department of Medicine - Medicine Subspecialty Electives - Recommended
It is recommended that the student choose one or two Elective Courses from the standard list of Medicine subspecialties. These subspecialty experiences may be from the DUCOM "home" clinical sites or an "away" clinical site of an LCME-approved medical school or ACGME-approved residency affiliated program. It is recommended that the student have experience in subspecialties of Medicine to broaden their exposure to subspecialty medicine in both a primary care setting as well as a consultative care setting.
Department of Medicine Electives
Additional Non-Medicine Elective - Recommended
The student will benefit from experience in non-medicine disciplines. This can be done at either a "home" or "away" site. These rotations can broaden the student’s educational experience to complement the Medicine discipline experience. These can be chosen by the pathway student depending on interest.
Some Suggested Non-Medicine Electives
The standard textbooks of Medicine are recommended as references. These include: Harrison's, Cecil, Stein, etc. The Washington Manual is recommended as a quick reference while working on the wards.
The student's clinical performance while on elective course assignments will be evaluated by both the supervising attending physician, and resident when appropriate, using the standard DUCOM clinical evaluation form. Students not receiving a grade of satisfactory or higher will be counseled and provided with remediation.
This Committee will meet at least quarterly to review the progress of the Pathway and the students' curriculum. Revisions of the curriculum will be made according to recommendations by the faculty and exit evaluations completed by the "generalist" students.