College of Medicine MD Curriculum

Pulmonary Medicine Acting Internship – UTMC

Title of Course:           Pulmonary Medicine Acting Internship – UTMC

Elective Year(s):          Fourth Year

Department:              Internal Medicine

Type of Elective:         Clinical

Course Site:                UTMC

Course Number:         MEDI 827

Blocks Available:        Per faculty availability

Number of Students per Block:        1

Faculty:                       Ragheb Assaly, M.D., Fadi Safi, M.D. and various others

Elective Description / Requirements:
Students will function as acting interns on the Primary Pulmonary (inpatient) Service (PPS). They will serve as the primary provider for a limited number of patients under close supervision by pulmonary fellows, residents, and attending physicians. Responsibilities will mirror those of an intern and include completing admission H&Ps, progress notes, discharge planning and documentation, and presenting on rounds. Students will gain experience with the management of complex pulmonary conditions such as COPD, asthma, interstitial lung diseases, pleural disease, pulmonary embolism, and respiratory failure.

Students will be expected to participate in and learn from diagnostic and therapeutic procedures including thoracentesis, bronchoscopy, and ventilator management. Didactic and bedside teaching will emphasize interpretation of imaging and pulmonary function tests, management of oxygen delivery systems and understanding non-invasive and mechanical ventilation.

Length of Course:       4 weeks

Links to Educational Program Objectives:

After completing the rotation, the student will be able to:

• Interview patients and collect data through history and physical exam tailored to pulmonary presentations (EPOs: PC-1)
• Perform complete or focused pulmonary exams and distinguish normal from abnormal respiratory findings (EPOs: PC-1)
• Use and interpret pulmonary function testing, radiographic imaging, and laboratory studies to assess respiratory conditions (EPOs: PC-6, MK-4)
• Develop and present a differential diagnosis and management plan for patients with pulmonary disease (EPOs: PC-7)
• Create accurate documentation including admission orders, progress notes, and discharge summaries (EPOs: PC-7)
• Recognize and assist in the management of respiratory emergencies, such as acute exacerbation of COPD, asthma, and hypoxemic respiratory failure (EPOs: PC-8)
• Demonstrate effective and professional communication during handoffs, interdisciplinary rounds, and consultations (EPOs: IPC-1, IPC-2)
• Understand the structure and limitations of pulmonary services within the health care system and contribute to high-value care (EPOs: SBP-1, SBP-2, SBP-5)
• Incorporate feedback and demonstrate self-directed learning to improve clinical reasoning (EPOs: PBL-1, PBL-3)
• Identify and address ethical issues related to pulmonary care, including end-of-life care and decisions about mechanical ventilation (EPOs: PB-1, PC-2)

Professionalism:

UTCOMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and Educational Course Objectives for the sponsoring department. Expectations include timeliness, accountability, respect for patient confidentiality, and sensitivity to diversity.

Instructional Methods:

1. Inpatient rounds
2. Clinical skills and bedside teaching
3. Independent and guided interpretation of lab and diagnostic studies
4. Procedure observation and participation
5. Lecture and media-based didactics
6. Independent study
7. Pulmonary-specific case-based learning

Assessment Methods :

1. Faculty/Resident observation
2. Case presentations
3. Clinical documentation (H&P, progress notes, discharge summaries)
4. Attendance and professionalism
5. Narrative evaluations
6. M4 Acting Internship Assessment

Prerequisites: Successful completion of the required Internal Medicine Clerkship

Clerkship Director: Mani Askari, M.D.

Clerkship Coordinator:          Dawn Jagodzinski
Phone Number: 419-383-5022
Email: dawn.jagodzinski@utoledo.edu

Special Requirements:
 Students are expected to be present in the hospital six days per week. Participation in procedures is encouraged based on availability and faculty supervision. Students are required to fill out and return two completed R-IDEA forms to the clerkship office.

ECC Approved
July 2025