MED3-4131/F JI - Any - Pulmonary Medicine

Course Coordinator: Suresh Enjeti, MD

Maximum number of students per rotation: 1


Educational Purpose:

The pulmonary rotation is a one-month elective rotation for fourth year medical students in which the principles of pulmonary medicine are emphasized. Socioeconomic issues such as complications of substance abuse or lack of timely medical care will be addressed. Ethical issues concerning the intensity of care are often encountered. The appropriate environmental precautions and hazards are frequently discussed when isolation of patients is required. 


Teaching Methods:

The pulmonary team generally consists of one upper level resident, one or two interns, and the medical student allowing the team to structure different tasks according to individual team member skills. The upper level resident teaches the interns and student; the attending teaches the entire team during didactic sessions as well as during daily rounds. Reading assignments are distributed based on rotation goals as well as particular disease entities encountered.


Disease Mix:

All aspects of pulmonary diseases may be evaluated and managed by the team on this rotation. Particular emphasis includes consultation and management of patients with acute and/or chronic pulmonary conditions. These include but are not limited to chronic obstructive pulmonary disease, pulmonary embolism, pulmonary fibrosis, obstructive sleep apnea, pneumonia, and asthma.


Patient Characteristics and Types of Clinical Encounters:

In this rotation, students evaluate patients for whom consultation is requested on the ward.  There is minimal intensive care unit exposure on this rotation.  When patients decompensate on the floor, the pulmonary team would be responsible for timely and efficient hand over of the patient to the critical care team.  Also, pulmonary clinic occurs once a month and will give the student exposure to pulmonary issues in the outpatient setting.  Students are required to attend with their residents.


Procedures and Services:

The pulmonary team often performs procedures which include central line placement, thoracentesis, chest tube placement, bronchoscopy, and tracheotomy management. Students will be invited to observe and possibly assist in these procedures.


Reading List:

1. MKSAP 14. Pulmonary and Critical Care.

2. Snow V, et al. Evidence base for management of acute exacerbations of COPD. Ann Intern Med 2001;134:595-9.

3. Current literature as assigned by the faculty supervisor


Pathological Material and Educational Resources:

Students are encouraged to review the results of diagnostic biopsies and therapeutic procedures. If an autopsy is performed on a patient for whom they have been providing consultation, they are encouraged to view the autopsy.


Method of Evaluation of Student Performance:

A. Attending and resident evaluations of your clinical performance at the end of the month.

B. Required completion of reading assignments.
C. Completion of assigned learning topics by attending.

UT College of Medicine Chattanooga     960 East Third Street, Suite 100     Chattanooga, TN 37403     (800)947-7823, ext 6956

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