A ten week block covering the basics of GI medicine, with the following weekly themes:
- GI anatomy, function and imaging.
- GI disorders and pharmacology, hepatitis.
- GI infections.
- Liver, gallbladder and biliary system.
- Mouth/oropharynx and GI cancers.
- Digestion/absorption and vitamins.
- Metabolism and introduction to diabetes.
- Diabetes treatments.
Educational program objectives are a subset of more broadly defined physician competencies, which represent general domains of performance for which the profession and the public hold physicians accountable.
Upon completing the GIMDO Block, students should be able to:
- Describe key events in the development of the GI, hepatic, biliary and pancreatic systems.
- Recognize key organs and structures in images from various modalities including selected abnormalities and disease states.
- Describe the functions of these key organs and/or structures with respect to:
- Endocrine and/or exocrine functions;
- Homeostasis of nutrients, electrolytes, fluid, etc.;
- Relationship to other systems, e.g., circulatory, lymphatic;
- Control by the nervous system.
- List key GI, liver and metabolic disorders and describe their etiology, incidence and risk factors and behavioral or societal components, including the following: Lactose intolerance, gastric ulcers, gastroesophageal reflux, hernias, type 1 and type 2 diabetes mellitus, hyperlipidemias, familial hypercholesterolemia, Crohn’s disease, ulcerative colitis, celiac disease, intestinal diverticula, cholecystitis, pancreatitis, cholelithiasis, gastritis (various causes), appendicitis, GI and oral cancers, hepatitis, hepatic failure, ascites, malabsorption disorders, hepatocellular cancer, eating disorders and others as deemed appropriate by the faculty.
- Explain the rationale for prevention and therapy of the above disorders.
- List appropriate drugs and describe in general terms their mode of action (if known) and major side effects or risks (if any): Antibiotics, antivirals, anti-inflammatories, anti-reflux, anti-tumor, weight-loss drugs, anti-diabetics and others as deemed necessary by the faculty in view of above disorders.
- Recognize the GI/metabolic side effects of drugs commonly used for other disorders, such as: NSAIDs, bone antiresorptive drugs, antihypertensives, etc.
- Recognize the contributions of diet, genetics and lifestyle to the development of obesity and its potential progression to type 2 diabetes, but also the potential for changes in diet and exercise to promote a healthy lifestyle.
- Discuss how recent and future changes in health care systems, payment schemes and (electronic) health record keeping will create both challenges and opportunities for the delivery of quality health care to all segments of the population.