Introduction to Innovations in Treating Acute and Chronic Illnesses

LOCATION: Berkeley Medical Center, Berkeley Wound Center, Cardiac Rehab Center in OP Clinic
PRECEPTOR: Robert Bowen, MD
DURATION: 2 weeks minimum
OFFERED: Intermittently
MAXIMUM ENROLLMENT: 1 student
STATUS: Elective 

OBJECTIVES:

This is an Internal Medical based rotation with experiences related to inpatient care in the ICU and outpatient care in cardiac-rehab unit; wound-care clinic; and private practice clinic. The students will be exposed to a myriad of chronic and acute issues. They will become familiar with techniques such as diet manipulation, targeted exercise, harvest and use of autologous adipose derived and bone marrow regenerative cells, photobiomodulation (PBM) (light therapy) for soft tissue injuries, and sleep optimization to amplify the body's natural responses to the disruption of homeostasis. Some of the conditions addressed include acute and chronic athletic injuries including TBI, dry macular degeneration, male and female sexual dysfunction, hair loss, wound healing, and treatment of acute and chronic systemic inflammatory response. This rotation would be for any student going into IM, Family Med, surgery, orthopedics to learn about innovations for tissue healing and where these procedures can enhance current medical practices.

Patient Care:

  • Obtain an accurate problem-focused history and physical examination.
  • Assist patient in making informed decisions about diet and exercise based on their information and preferences.
  • Support patient in development and management of a treatment plan.
  • Perform basic appropriate clinical procedures, including soft tissue injury and/or wound assessment.
  • Take a focused sleep history and advise about sleep hygiene
  • Work with health care professionals in cardic care-rehab unit providing patient-focused

Medical Knowledge:

  • Demonstrate an investigatory and analytic thinking approach.
  • Apply basic science knowledge to innovative methods for treatment of acute and chronic disease processes
  • Interpret the results of problem -focused patient history and physical examination
  • Reason deductively to solve clinical problems in settings of soft tissue injury, wound healing and cardiac rehab.
  • Learn the principles of therapeutic management of soft tissue injuries and wound healing and gain an understanding of the benefits/risks associated with specific therapies.
  • Retrieve, manage and appraise sources of medical information/research for lifelong learning.
  • Be an "active" learner by identifying and sharing knowledge that benefits patients and the team of health care providers.

Practice-Based Learning:

  • The student will become familiar with the conduction (steps) of clinical trials and interpretation of data from scientific/medical literature
  • Apply knowledge of study designs and statistical methods to appraise clinical studies.
  • Use information technology to research and manage information

Communication Skills:

  • Communicate effectively while demonstrating compassion and respect.
  • Counsel and educate patients and their families about possible treatment plans
  • Respect the expertise of others and collaborate effectively with all members of the healthcare team to provide patient-focused

Professionalism:

  • Demonstrate a commitment to ethical principles, including provision or withholding of care, confidentiality, informed consent and business practices
  • Demonstrate sensitivity and responsiveness to patients' culture, age, gender, race, ethnicity, religious beliefs, sexual orientation and disabilities
  • Demonstrate a continuing commitment to excellence and life-long learning.
  • Serve as role model for healthy lifestyles and good health

Systems-Based Practice:

  • Identify clinical interventions and therapy available in the clinic and hospital setting.


METHODS TO ACHIEVE OBJECTIVES:

On-site teaching for patient specific concerns with dedicated time for questions and discussion of patient care

EXAMINATION PROCEDURES AND EVALUATION CRITERIA:

Formal Assessment:

  • Direct observation and direct feedback 

Summative Assessment: 

  • Written Clinical performance evaluation


PRIOR TO THE FIRST DAY OF THE ROTATION: