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 3rd year Medical Student  (Weekly Curriculum during IM rotation)

Week 1 : Back to Basics

1.     Importance of a good history

2.     Importance of good Physical Examination

3.   Understanding Errors in Medicine 

4.  Physical Examination: 
5.  Generating a Differential Diagnosis 

Week 2: Understanding the basics of Hematology

1.     How to approach anemia

2. How to approach Pancytopenia 

3.    How to approach thrombocytopenia
3.   Physical Examination 

Week 3: Understanding Cardiology

1.     Understanding the work up of Chest Pain (Learn the Differential Diagnosis and Work up Strategy)
Week 4: Understanding GIM 
                    1. Evaluation and Management of Hypertension 
  • Define Stages of HTN 1 /2
  • Define Goal of Treatment 
  • Identify the cause, if uncontrolled 
  • Outline the treatment plan if uncontrolled - Which Anti-HTN medications to start / add
Stages of Hypertension (Table 1, Page 3) JNC 7
2014 JNC 8 Evidence-Based Guideline for the Management of HTN in Adults JAMA

2. Evaluation and Management of Hyperlipidemia: 
  • Presence or absence of ASCVD  
  • Calculate ASCVD Risk scores (if ASCVD is absent and LDL <190e)
  • Outline the Intensity of Statin for treatment
  • References:
Treatment of Blood Cholesterol to Reduce ACVD in Adults: Synopsis of 2013 ACC/AHA Guideline Annals 2014
A Pragmatic View of the New Cholesterol Treatment Guidelines NEJM 2013 (with case examples)
                     3. Approach to a patient with Generalized Fatigue
                     4. Sepsis
          5. Physical Examination

Week 5: Understanding GI

2.   Evaluation and Management of GI Bleeding
                      3.     Jaundice
 5.   Physical Examination 
Week 6: Understanding Nephrology 

Week 7:   Approach to Rheumatology 

1.    How to approach patients with Joint Pain 

                       2.  Physical Examination: 

Week 8:   Approach to Neurology 

Week 9:    Approach to Endocrinology 
  •       2  Basic Principles of Endocrinology you MUST always remember
  • Principle1 
    • 1st Step: Screen for the endocrine dysfunction
    • 2nd Step: Once screening is positive, do the diagnostic tests
    • 3rd Step: Once diagnostic tests is done, only then image to localize the lesion
  • Principle 2
    • If suspecting hyper-functioning: try to suppress that organ during the screen and diagnostic tests
    • If suspecting hypo-functioning: try to stimulate that organ during the screen and diagnostic tests

1. Physical Examination

1.     Approach to the Patient with a Skin Disorder

2.     Eczema, Psoriasis, Cutaneous Infections, Acne, and Other Common Skin Disorders

3.     Skin Manifestations of Internal Disease

4.     Immunologically Mediated Skin Diseases

5.     Cutaneous Drug Reactions

6.     Photosensitivity and Other Reactions to Ligh

7.    Physical Examination

Week 12:  Approach to Oncology 

Additional Readings from for 3rd year Medical Student (How to approach!)


1.     How to approach arrhythmia and palpitations

2.     How to approach patient with Heart failure


1.   Headache

GI / Hepatobiliary

1.     Dysphagia


1.     Acidosis and Alkalosis


1.     Hypoxia and Cyanosis

2.     COPD

3.     Asthma


1.    Musculoskeletal Pain


Harrison's Principles of Internal Medicine, 19e