Department of Internal Medicine
Clerkships
Medicine II
General Medicine Hospitalist Sub-internship Track
| Clerkship Manager: | Toni Kerney |
| Medical Office Bldg. I (next to Provena) | |
| 217.337.4625 | |
| tbkerney@illinois.edu | |
| Hospitalist Subinternship Director: | Dr. Mehtab Mizan |
| Participating Faculty: | Carle Foundation Hospital hospitalist faculty |
| Location: | Carle Foundation Hospital, Urbana, IL |
| Duration of rotation: | 4 weeks |
| Dates available: | Year round |
| Prerequisites: | M4 students only & satisfactory completion of Medicine I Core Clerkship |
| Supervision: | General Internal Medicine Hospitalist Faculty |
| Students per rotation: | One to two |
| Night call required: | will reflect attending’s schedule |
| 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.
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 case, 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 scheduled internal medicine
conferences during the rotation. These will include grand rounds,
clinical-pathological conferences (CPC), journal club, infectious
disease conference, and other core conferences.
Evaluation of the student
The student will be given ongoing feedback by the attending
physicians and at the end of the rotation, and throughout the
rotation as situations and circumstances dictate. The student
will be evaluated by the attending 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 hospitalist physician faculty.
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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