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The experience is in an internal medicine office practice. There is heavy exposure to diabetes mellitus (all types), hyperlipidemias and hypertension. The natural history of illnesses and the longitudinal care of patients will be emphasized. The student will regularly see patients with multiple diagnoses and complex pharmacologic regimens. In addition to patient contact and teaching, the student will receive regular one-on-one didactic sessions and will regularly receive literature assignments. This senior elective is an expansion of the elective offered over the past 12 years. In addition to general internal medicine, there is heavy emphasis on hypertension, lipid disorders and diabetes mellitus. The student will receive practical exposure and individual instruction on all aspects of diabetes management including oral agents, all types of insulin and insulin pump therapy. There is also instruction on the management of diabetic complications including nephropathy, neuropathy, vasculopathy, foot care and ketoacidosis. Lipid disorders are reviewed in detail including pathophysiology, clinical manifestations and treatment. Recent and current literature is assigned for review and discussion. The student will assess patient with simple as well as complex medical problems usually requiring multifaceted decision making.

Elective Details:

Primary Contact for Add/Drops: Denise Monday (DMonday@iuhealth.org)

Director: Fred Frick, M.D.

Campus: Indianapolis

Location: Private Office (Indianapolis)

Other Faculty:

Learning Objectives

  • 1) Describe the presentation and diagnosis of all types of diabetes (PC2)
  • 2) Use all types of insulin preparations in ambulatory as well as emergent settings (MK4)
  • 3) Explain the general principles of insulin pump management (MK3)
  • 4) Practice evidence based physical diagnosis, with particular emphasis on outpatient cardiovascular assessment and the assessment of neuropathy in the diabetic patient (MK5)
  • 5) Evaluate and explain the use of all available oral agents in the treatment of type II diabetes, as well as GLP-1 agonists (MK4)
  • 6) Summarize, using current literature, the treatment of hyperlipidemia and hypertension, including a review of all antihypertensive agents (PBLI1)


  • Clinical Performance Evaluation Form

Enrollment Information

Prerequisites: 4th year status

Availability with Max Students per Month:


Duty Hours: 40

Time Distribution: 80% Clinical; 10% Lecture/Seminar; 10% Library

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Denise Monday (DMonday@iuhealth.org) Any student wanting to drop or add this elective after the initial computer scheduling should contact Denise Monday at 317-962-8116 or DMonday@iuhealth.org. This course may be dropped or added up to the 15th day of the month preceding the elective month.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: The student will interact with the entire office based team which included pharmacists, nurses, diabetes educators and social workers.

Service Learning Included: None