Ascension Providence Hospital Gastroenterology

Faculty Contact: Michael Piper, MD

Rotation Location: Ascension Providence Hospital, Southfield Campus

Duration of the Rotation: 2 weeks (MSUCHM only) or 4 weeks

Students Per Month: 2

Work Hours: Weekdays starting at 7am; no call

Prerequisites: 2 years of medical school; MCE completion for MSUCHM students; completion of Internal Medicine core clerkship for students from other schools

MSUCHM Course #: MED 615

General:  During this rotation, the student will observe a considerable number of cases, including endoscopies, ERCP and several esophageal motility tracings.  Involvement will include reviewing x-rays with the teaching staff.  Student will be expected to present cases logically and concisely.

Goals & Objectives: The student will have the experience of first encounter with patients and be able to make decisions under the supervision of a member of the teaching faculty.  The student will follow two to six patients daily, while on the service, with their notes reviewed and co-signed by either the subspecialty fellow on the service or the attending teaching faculty.  The student is expected to work out a reasonable approach to the diagnosis of the patient’s problem.  He/she will be trained to do a history and physical and will be checked by the senior gastroenterology fellow, the Chief of Gastroenterology and/or the attending staff physician.

Procedural experience is an important part of this rotation.  The student should witness at least five (5) flexible sigmoidoscopies, colonoscopies and gastroscopies and other procedures.

Continuity of care is also very important.  The student will work one a.m. per week in the GI Continuity Clinic.

Additionally, the Section Chief will encourage student participation in clinical research projects.  The resident may allow the student to continue his/her participation even after he/she leaves the rotation.

One of the educational objectives is to acquaint the student with various sources of reading material and provide assigned teaching materials from our library.  The student is required to read several articles of topical importance. Daily quizzing of assigned material, general discussions of digestive diseases and the bibliography are evaluation factors.

Evaluation: At the end of the rotation, each student is individually reviewed according to the quality of case material presentation and participation in daily rounds. The Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school.