Department of Internal Medicine
Clerkships
Medicine II
Clinical Medicine Sub-internship Track
| Clerkship Manager: | Toni Kerney |
| Medical Office Bldg. I (Next to Provena) | |
| 217.337.4625 | |
| tbkerney@illinois.edu | |
| VA Subinternship Director: | Dr. Anu Mani |
| Participating Faculty: | Drs. Mani, Gopinath, Chani |
| Location: | VA Illiana Healthcare System, Danville |
| Duration of rotation: | 4 weeks |
| Dates available: | Year round |
| Prerequisites: | Satisfactory completion of Medicine I Core Clerkship |
| Supervision: | General Internal Medicine Faculty |
| Students per rotation: | One |
| Night call required: | may be assigned |
| Equipment required: | reflex hammer, otoscope, ophthalmoscope and stethoscope |
Goals
The objectives of the rotation are to expand the student’s
knowledge and understanding of medical issues affecting
internal medicine patients, primarily focusing on appropriate
diagnostic and therapeutic interventions and to provide the
opportunity for the student to assume a more primary role in
the responsibility of directing care of a patient. Inherent in
this experience is an opportunity for in-depth learning in the
areas of professionalism and systems-based practice as the
student will function in many respects as an intern for his or
her patients, albeit with supervision by an attending physician
and a senior resident. This track will encompass the learning
of integrative skills, procedures and how to handle basic clinical
scenarios. By assuming more direct responsibility for developing
the diagnostic and therapeutic plans for his or her patients, the
student will engage in a formative experience designed to prepare
him/her for the future care of patients. This track is designed
to be rigorous with high performance expectations of the students.
This rotation provides experiences allowing the student to begin
an internship well prepared and comfortable with that role.
Objectives:
Patient Care
The student will be expected to demonstrate skill in case
presentation in a logical and succinct manner. In addition,
longitudinal tracking of patient data and coordinating care
with other health care workers is a requirement of the
rotation. The student should be able to recognize clinical
scenarios and be in a position to initiate appropriate care
with supervision. Prioritizing clinical duties/sign out lists,
identifying adverse drug reactions/ interactions, ethics of
informed consent and use of electronic databases will
be required.
Medical Knowledge
During this rotation the student should demonstrate
skill acquisition in the management of commonly
encountered medical issues. The student’s knowledge
will be evaluated based on how he/she plans to care
for the patient. Scholarly reference to standard medical
textbooks and the literature is expected during this rotation.
Practice-Based Learning and Improvement
The student will develop a program of self-guided learning
based on case exposure and resources provided at the
start of the rotation. The interventions planned for any
patient must be clarified with a senior resident or the
attending physician, before being implemented.
Interpersonal and Communication Skills
The student will present concise, well-organized presentations
to the team and/or attending each morning on rounds.
The student will be expected to discuss the cases with consultants
to formulate a plan of care for their patient. The student
will be expected to work alongside other members of the
care team in a manner that will benefit the patient.
Professional behavior and empathy is expected from
the student.
Professionalism
The student will demonstrate respect for the opinion of
team members caring for the patient. The student will
be punctual in completing assigned duties and demonstrate
positive regard for the patients, family members and all
members of the health care team. The student must
understand that the needs of a patient come first and it
may be necessary to prioritize differently based on the
specific needs of a patient on the team. The student is
expected to behave as a team member learning from
patients on the team, even if they are not directly involved
in the care of a specific patient.
Systems-based Practice
The student will demonstrate appropriate interaction
with members of the health care team and recommend
appropriate consultations as needed. It will be expected
that the basic workup for the patient is undertaken prior
to calling for consultations. The student should be able to
recognize an emergency and demonstrate the ability to
initiate the appropriate intervention (with supervision).
The student will be an integral part of the team.
Teaching Methods
Experiential and didactic as well as self-directed teaching
methods will be employed throughout the rotation. Students
will complete the initial evaluation of the patient and then
present the cases, with a formulated plan for investigation
and care of the patient. The student will be expected to
communicate treatment goals and the rationale for a plan of care.
Students will be expected to attend all regularly scheduled
internal medicine conferences during the rotation.
Evaluation of the student
The student will be given feedback by the attending physician
midway and at the end of the rotation, and throughout the
rotation as situations and circumstances dictate. The student
will be evaluated using the RIME form and the evaluation will
be viewed with the student. Any feedback from other members
of the health care team will also be provided to the student.
Evaluation of Faculty and Clerkship
The student will evaluate the faculty with whom he or she
worked on the rotation and also evaluate the clerkship experience
on standard survey instruments provided by the Department of
Internal Medicine.
Supervision
The student will be supervised by the Attending physician
and a senior Internal Medicine Resident on the rotation.
Procedural skills
The student will maintain a log of the various procedures
performed during the rotation. The required procedures are
available on the clerkship website. These procedures must
be done under the supervision of a credentialed physician.
Portfolio
The student will maintain a case log.
References:
Harrisons, Cecil, Washington Manual, UpToDate
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