Creighton University Internal Medicine Residency Curriculum Cycle of 33 months

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Creighton University Internal Medicine Residency Curriculum Cycle of 33 months Cardiology: 13 lectures and once a month EKG lecture, 25 total 1. EKG interpretation Once a month 2. Heart failure: 2 lectures. Acute and Chronic 3. Chest pain 4. Atherosclerosis and CAD outpatient management 5. Acute coronary syndromes 6. Outpatient management of heart failure 7. Cardiomyopathies and heart transplant 8. Arrhythmias: 2 lectures 9. Pericardial diseases 10. Valvular heart Disease 11. Non-invasive cardiac testing and imaging 12. Peripheral vascular disease Pulmonary-Allergy-Critical Care: 16 lectures 1. COPD: 2 lectures 2. CXR interpretation 3. DVT/PE 4. Pneumonia 5. Acute respiratory failure 6. Shock 7. Asthma 8. Interstitial lung disease 9. Pleural effusions and chest tubes 10. Pulmonary hypertension 11. Mechanical ventilation and Noninvasive Mechanical Ventilation 12. Cystic fibrosis, bronchiectasis and lung transplant 13. Pulmonary function tests 14. Granulomatous Lung Diseases (Sarcoidosis, autoimmune) 15. Sleep disorders and obesity hypoventilation syndrome Nephrology: 10 lectures 1. Acute renal failure 2. Electrolyte abnormalities: 2 lectures 3. Acid-base physiology 4. Hypertension 5. Chronic kidney failure/dialysis

6. Calcium/phosphorus in renal disease 7. Glomerular disease: 2 lectures 8. Renal syndromes and clinical use of diuretics Gastroenterology 14 lectures 1. Cirrhosis and Liver Transplantation 2. GI Bleeding 3. Esophageal and motility disorders 4. PUD and H. pylori 5. Pancreatitis 6. Malabsorption syndromes/chronic diarrhea 7. Inflammatory bowel diseases 8. Hepatitis C and Hepatitis B 9. LFT reading and nonalcoholic fatty liver disease 10. Biliary disorders 11. Abnormal LFTs 12. Acute liver failure (Alcohol, Meds, Hepatitis A/E) 13. Celiac Dz/Malabsorption 14. Colorectal Screening/Polyps Hematology 13 lectures 1. Transfusion 2. Sickle cell disease 3. Approach to the anemic patient 4. Myelodysplastic syndrome and myleoproliferative disorders 5. MGUS, myeloma and amyloidosis 6. HIT 7. ITP/TTP 8. Bleeding Disorders 9. Leukemias 10. Lymphomas 11. Hypercoagulable syndromes 12. Blood smears 13. Long-term survivors of malignancy Oncology 9 lectures 1. Heme-Onc emergencies 2. Head-neck cancer 3. Breast cancer 4. Lung cancer 5. Colorectal cancer and prevention 6. Prostate cancer

7. Genitourinary cancers 8. Gynecologic malignancies 9. Cervical cancer and management of abnormal pap smear Rheumatology-Immunology 11 1. Rheumatologic Emergencies + Acute phase reactants: Clinical use and interpretation 2. Osteoarthritis +Rheumatoid arthritis 3. Spondylarthropathies 4. Gout and other crystal-induced diseases 5. Sjogren's disease and scleroderma 6. Systemic lupus erythematosis 7. Vasculitis ( 2 lectures if necessary) 8. Inflammatory myopathies + Polymyositis and dermatomyositis 9. Antiphospholipid antibody syndrome 10. Acute phase reactants; clinical use and interpretation Infectious Diseases 14 1. Antibiotic choices and stewardship 2. HIV Therapy(Outpatient HAART therapy and management) 3. CNS infections 4. Skin infections (Cellulitis, necrotizing fasciitis, toxic shock syndrome) 5. Vector borne disease 6. Urinary tract infections/pyelonephritis/prostatitis 7. TB evaluation/management 8. Fungal infections 9. Osteomyelitis 10. ID for Travelers/Travel Medicine 11. Transplant ID + Opportunistic infections in HIV 12. Hospital-acquired infections 13. Infective endocarditis 14. FUO Endocrinology 9 1. Diabetic ketoacidosis and other diabetic emergencies +Inpatient diabetes management 2. Outpatient diabetes management 3. Pituitary disorders (Hypopituitarism + Hyperpituitarism) 4. Hyperthyroidism 5. Hypothyroidism 6. Adrenal insufficiency (absolute and relative) 7. Adrenal Excess including Cushing's, Conn's 8. Osteoporosis and other disorders of bone 9. Thyroid nodules Evaluation and Management

General Internal Medicine 5 1. Outpatient narcotic/pain management 2. Perioperative management and risk stratification 3. Breaking Bad news +Communication about death and dying +How to address Code status (can be listed under palliative care if needed) 4. Ophthalmology for the internist 5. Hyperlipidemia/Lipid disorders Neurology 9 1. Ischemic Stroke 2. Hemorrhagic Stroke 3. Dementia 4. Headache 5. Movement disorders 6. Multiple sclerosis 7. Neuromuscular diseases 8. Epilepsy 9. Peripheral neuropathies Psychiatry 6 1. Inpatient Management of an agitated patient 2. Components of Capacity assessment 3. Outpatient Antidepressant management ( classes of drugs +side effects) 4. Over dose of psychiatric meds/psych-pharmacology 5. Somatization Disorders 6. Substance abuse Dermatology 7 1. Blistering disorders 2. Pigmented lesions/skin malignancies 3. Psoriasis 4. Evaluation of rash in a hospitalized patient 5. Cutaneous manifestations of systemic disease 6. Dermatologic emergencies 7. Herpetic lesions evaluation and management Women's Health 3 1. Sexually transmitted infections 2. Dysmenorrhea and dysfunctional uterine bleeding 3. Vaccinations in adults Palliative Care 3 1. Palliative symptom management (Management of nausea/ vomiting and others in a dying patient)

2. Inpatient Opioid pain management 3. Breaking Bad news +Communication about death and dying +How to address Code status (can be listed under palliative care if needed) Allergy/Immunology 3 1. Approach to Angioedema 2. Primary Immunodeficiency 3. Drug Allergy/Desensitization Miscellaneous 7 1. Medical problems in pregnancy (management of HTN, Chronic kidney disease, Proteinuria, Abnormal Liver functional test, DM, Thyroid dysfunction)- Difficult to categorize 2. How academics work/academic career tracks 3. Medical legal issues 4. Professional development and work-life balance 5. Sleep deprivation 6. Quality Curriculum: Hazards of Hospitalization 7. Wound Care/Skin ulcer/frostbite management HMS Curriculum suggestions 3 1. Delirium 2. Communication/Medical Error 3. Alcohol withdrawal

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