Departments: Internal Medicine

Osteopathic Medicine in Downers Grove

Chair: Glenn Nordehn, D.O.

The core of an osteopathic physician's knowledge and treatment of disease entities is found in internal medicine. The basics learned here pervade primary care, surgery, and the subspecialties of medicine. At CCOM, medicine is taught on the floors of affiliate hospitals. Because much of the teaching in medicine is one-on-one or with small groups, the members of the department are able to provide individualized instruction for the medical students. This enables the faculty to ascertain whether or not the medical students can incorporate the material mastered in the basic sciences into their practice of clinical medicine. The medical students can gain significant ambulatory experience in the general internal medicine and subspecialty clinics while rotating through their required and elective clerkships in internal medicine.

The members of the Department of Internal Medicine, all of whom are highly trained specialists, subspecialists, or general internists, are engaged in clinical as well as basic research. The sections of cardiology, gastroenterology, infectious disease, and rheumatology are actively involved in numerous research and investigative pharmaceutical studies. The medical students may assist in these projects by monitoring the patient's progress and helping to analyze the data collected for these studies. In addition, students may select a research elective program in one of the subspecialties of internal medicine, pursuing a particular research project in more depth.

1501 History of Medicine
No physician would consider treating a patient without first obtaining a detailed history, yet too many physicians are unable to turn to historical precedents for guidance in their work because they are unaware of the history of their own profession. It is no accident that in the last 100 years the most influential and original thinkers in medicine also had a sense of history as well as an appreciation for the history of medicine. This course analyzes the development of the osteopathic medical profession and traces the evolution of medical concepts and beliefs. After exploring the practice of medicine in classic antiquity (including the Middle East, India, China, and Japan), the medical students study the beliefs and opinions of the great physicians who were responsible for the development of western medicine from its Greco-Roman origins through the rise of American Medicine in the 20th century. With this course as a basis, the medical students will be able, as physicians, to evaluate issues and trends in medicine. Additionally, they will be able to assess the ways in which changes in the practice of medicine affect other elements of society.

1702, 1802 Internal Medicine Rotation I and II
In these rotations, medical students participate in daily teaching rounds and attend all teaching lectures and conferences. The medical students also conduct in-depth studies on assigned cases. The medical students are evaluated, in part, on their ability to collect and analyze data and solve problems.

Elective Clerkship in Cardiology
This rotation provides the medical students with an intensive academic and clinical experience in the diagnosis and management of cardiovascular disease. In addition to participating in patient treatment in the Intensive Coronary Care Units, consultations concerning cardiovascular and peripheral vascular disease and reading and interpreting electrocardiograms for review with cardiologists, the medical students examine the entire spectrum of invasive and noninvasive diagnostic modalities. Medical students are expected to attend and participate in cardiology and electrocardiography conferences and teaching rounds. Medical students are also encouraged to participate in ongoing research projects conducted by the cardiologists.

Elective Clerkship in Endocrinology/Metabolism and Nuclear Medicine
This rotation is divided into two parts: endocrinology/metabolism and nuclear medicine. In endocrinology/metabolism, the medical students explore common as well as esoteric endocrinopathies. After exploring how to utilize properly a history and physical examination, the medical students should be able to arrive at a tentative diagnosis and outline a diagnostic approach to confirm this diagnosis. The medical students are expected to participate in teaching rounds and consultations.

The portion of the rotation in nuclear medicine is designed to familiarize the medical students with the diagnostic modalities available in vivo and in vitro nuclear medicine. The medical students examine therapeutic uses of radioisotopes and, through their participation in the daily interpretation of test results, consultations, and seminars, they broaden their experience in nuclear medicine.

Elective Clerkship in Gastroenterology
This rotation offers the medical students a variety of academic and clinical experiences in gastrointestinal and hepatic diseases. The medical students learn the entire spectrum of endoscopic and gastrointestinal functional studies, as well as the detailed study of hepatology. In this rotation, emphasis is placed on histopathology and clinical correlations. The medical students are expected to attend teaching rounds with the senior staff, the weekly problem case conferences, and the weekly journal club.

Elective Clerkship in Hematology/Oncology
This rotation acquaints the medical students with the diagnosis and management of hematologic and oncologic problems. The medical students learn common clinical laboratory tests, bone marrow aspiration and biopsy, and the interpretation of these tests, as well as the proper use of chemotherapeutic agents in malignant hematologic disorders. The medical students are expected to participate in teaching rounds and the weekly problem case conferences.

Elective Clerkship in Infectious Diseases
This rotation provides the medical students with a rational approach to diagnosing and treating common and unusual infectious disease problems. The medical students learn to interpret microbiologic laboratory data, including Gram stains, in vitro and in vivo sensitivity tests, and cultures. Lectures help the medical students review host-defense mechanisms and antibiotics. The medical students also have an opportunity to participate in clinical investigations of new antibiotics.

Elective Clerkship in Nephrology
This rotation provides the medical student with an intensive exposure to areas of clinical nephrology such as acid-base abnormalities, hypertensive disease, and various metabolic and endocrine disorders. The students have an opportunity to observe and participate in the management of various forms of renal dysfunction and failure through the programs conducted by the acute and chronic hemodialysis unit, the chronic peritoneal dialysis unit, and the consultation services provided by members of the department. In this rotation, emphasis is placed on how to interpret urinary sediment and the evaluation of a patient's renal function. In addition to mastering the regular reading assignments, the students are expected to participate in conferences and teaching rounds.

Elective Clerkship in Neurology
This rotation is designed to broaden the medical students' knowledge of general and specific neurologic problems. The medical students learn various methods (EMG, EEG, and CT scanning) used to discover and diagnose neurologic pathologies. Also, the medical students are expected to participate in the comprehensive neurologic examinations conducted during teaching rounds and to participate in consultations. The medical students are expected to attend conferences and lectures in neurology.

Elective Clerkship in Pulmonary Medicine
This rotation introduces the medical students to the broad field of respiratory problems. The medical students learn to interpret chest x-rays, pulmonary function studies, arterial blood gas studies, and the proper use of respiratory therapy modalities. The medical students are expected to attend teaching rounds, consultations, lectures, and seminars in pulmonary medicine.

Elective Clerkship in Rehabilitation Medicine

Elective Clerkship in Rheumatology/Immunology
This rotation is designed to expose the medical students to the broad field of rheumatologic disorders, connective tissue disease, and clinical immunology. In addition to examining patients once they are admitted, the students are expected to develop a basic working knowledge of the various procedures utilized in the evaluation and monitoring of patients with rheumatic disorders and master the application and function of these procedures in ongoing patient care.

Elective Clerkship in Adult Allergy
This rotation is designed to expose the medical students to the broad field of allergic-induced disorders and immunologic mechanisms of disease. The students gain experience in carrying out an extensive history and physical as it relates to the allergic patient. Medical students will learn how to interpret spirometry and gain a basic knowledge of allergic testing. The medical students are expected to attend teaching rounds, consultations, lectures, and seminars in adult allergy.