Renal and Electrolyte Disorders

Sites: BIDMC
Director(s): Katharyn Atkins, Robert Cohen
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time for one month.
Location: BIDMC - BI-Deaconess Medical Center (5)
Open to Exclerks: US/Canadian
Description: The course will provide the student an immersion into the specialty of nephrology by hands-on care of inpatients with kidney disease, kidney and pancreas transplants, and electrolyte and acid-base disorders referred for consultation and management. In addition, the student will attend a half-day each week of general nephrology or transplant clinic to gain exposure to ambulatory patients with kidney disease, electrolyte disorders and urinalysis abnormalities. The student will evaluate such inpatients and outpatients, participate, together with a renal fellow, in their diagnosis and management, and present their patients on daily attending rounds and at clinical conferences. In addition to a weekly formal clinical conference, the student will attend a weekly journal club/research conference, a literature based seminar with Dr. Bud Rose, core curriculum conferences emphasizing renal pathology, radiology, dialysis and transplantation, and monthly special conferences which include a Dartmouth Teleconference, GU/Nephrology conference, and internationally known invited lecturers at Renal Grand Rounds. There is no night or weekend call on this elective.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic and clinical science are reviewed at our weekly journal club/research conference, transplant conference, and core curriculum lectures. Dr. Rose's conference emphasizes the basis for our thinking in nephrology at his weekly topic-oriented literature seminar. Nephrology is one of the more quantitative, evidence-based subspecialties so we think we teach evidence-based medicine on our daily attending rounds.
Grade Criteria:
Honors with Distinction: Honors with Distinction are given to students with exceptional performances in effort, knowledge, clinical acumen, communication and professional skills, about 10-15%. Honors: Honors are given to students who have done very good work, above the satisfactory passing level in the above skills, about 50-60%. Satisfactory: Satisfactory grades are given to students with an average, passable performance in the above skills, about 25-40%. Unsatisfactory: Unsatisfactory grades are given to students that fail to perform the required course tasks appropriately. This has not occurred in recent years.