Internal Medicine
Introduction
 
Welcome!
Over the next five weeks, you’ll play the role of a general medical resident working at Lincoln Regional Medical Center. Dr. Jordan Casey will be your supervising physician. You are about to do some work in the hospital’s walk-in center—an outpatient clinic for non-emergencies. Your first patient of the day comes in complaining of several acute symptoms. Your job is to ethically diagnose, treat and cure the patient’s illness.


What is a resident?
A resident is a new doctor who has completed medical school and chosen a specialty, but who is still highly supervised for the first couple of years. As the name implies, a general medical resident intends to be a general practitioner, as opposed to a practitioner who specializes in one specific area of the body such as the eyes, heart or brain.

What will I do during this rotation?
This project is a simulation that will exercise your knowledge of human physiology, anatomy and ethics – as well as your skills in problem solving, research, writing, verbal debate and presentation. Your number one priority is to work with your patient. Your patient has come to the walk-in clinic complaining of several symptoms. Your job is to diagnose, treat, and cure the patient’s illness. Your overall mission will be to get your patient healthy again. Part of your resident responsibilities also includes serving on the hospital’s ethics committee. The committee chair will check in with you periodically to ask for your input on some sticky ethical dilemmas. On each issue, you’ll have to establish a position and defend it to the rest of the committee.

 

      

What are ethics, and what role can they play in making a diagnosis?
Ethics refers to a standard of behavior that each of us lives by that help us determine how to act in all situations. By looking at diagnosis from an ethical perspective, we expand our viewpoint to attempt to consider definitions and conclusions that may never have otherwise been considered.

For more on ethics, look here.

I’m no doctor! How will I be able to figure out how to diagnose this patient?
This rotation provides many resources, including step by step guides, to help you think through the problem you are solving one step at a time. In addition, like many residents, you’ll be working in a team, and will be able to bounce ideas off your teammates, and give and receive feedback from them. In addition, a mentor will be available to help you when you have questions, and will give you feedback on your work.

How do I get started?
Simply click on Task 1: Develop Differential Diagnosis in the left menu. You will see Dr. Casey’s first email to you, describing what he would like you to do. Once you’ve read this email, you can look at the Get help section of the task for a step-by-step guide and other resources to help you do your work.