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Internal Medicine, Pulmonary Diseases Inpatient Service (Florida)


Medical students choosing this elective will be based at Mayo Clinic hospital. The primary focus of their experience will be consultative, but a few patients with predominately pulmonary problems will be primarily managed by this service. Students participate in rounds on patients assigned, attend morning conference, and participate in the evaluation and treatment of patients referred with pulmonary disease. The student will be expected to see two to four new consultations each day and participate in special procedures such as thoracentesis and bronchoscopy. Each patient is presented to the thoracic disease consultant and the cases are discussed in detail. Students spend additional time each day learning to interpret pulmonary function tests and chest imaging.

Specific Goals:

  1. Improve skills in history taking, physical examination and the management of patients with pulmonary diseases (e.g., asthma, cancer, COPD, pulmonary infections, bronchiectasis, abnormal chest radiograph, pleural disease, restrictive lung disease, dyspnea, cough, and chest pain of unknown etiology).
  2. Become familiar with the various laboratory-based procedures used in pulmonary medicine, including bronchoscopy and pulmonary function.
  3. Improve the interpretation skills of chest imaging both chest x-rays and CT imaging.

Activity outline

Daily rounds alone on patients assigned

8:00 a.m. - 8:30 a.m. Attend internal medicine morning report
8:30 a.m. – 9:30 a.m. Self round on previous patients. Generate preliminary progress notes.
9:30 a.m. – 5:00 p.m. See any additional consultations that are requested and generate a preliminary consultation note on each. Round with the supervising resident or fellow as well as with the Pulmonary consultant on previous patients and new consultations. Attend all bronchoscopies and pulmonary procedures.
12:30 p.m. – 1:30 p.m. Conference (as noted below)
Note call responsibilities: No call responsibilities on weekends or nights.

Regularly scheduled pulmonary disease conferences:

Second Monday 
12:30 p.m.
Quality Improvement
Every other Monday 
12:30 p.m.
Fellows Conference
Fourth Monday
12:30 p.m.
Research Conference
Every Tuesday
12:30 p.m.
Lung Cancer Conference
Every Wednesday 
12:30 p.m.
Grand Rounds
Every Thursday 
12:30 p.m.
Fellows Conference (when no other is scheduled)
Third Thursday 
12:30 p.m.
Chest Conference
Every Friday 
8:00 a.m.
CCS Conference
Every Friday 
12:30 p.m.
Case Conference
NOTE: Student is expected to prepare and present a 15-20 minute case presentation at the monthly Chest Conference to the Pulmonary Division, and Internal Medicine and Family Medicine Residencies.

Method of evaluation

Staff members provide written evaluations of students at the end of the elective.