Medical Student Electives - Internal Medicine Sub-Internship

Rotation Director:  Valerie Overholt, D.O. 

Duration:  One month

Maximum number of students per four-week period:  Three

Candidates:  Senior students of approved allopathic and osteopathic medical schools

Description:
The subinternship in internal medicine provides the senior medical student the opportunity to assume responsibility for patient care at the level of the PGY-1 resident.  The subintern is a key member of the resident team, providing patient care in a state of the art community hospital with more than 350 board certified internists on staff.  Each subintern is provided the opportunity to advance their skills in history taking and physical examination, problem formulation, and patient management.   Subinterns work directly with the senior resident and faculty rounder to develop diagnostic strategies and treatment plans for each assigned patient.  Students are responsible for assessing each assigned patient daily, presenting their findings during work rounds, and for accurately recording patient findings, assessments and management plans in the medical record. Notes will be reviewed and signed daily by the senior resident. 

The subintern is provided the opportunity to participate in specialized procedures.  He/she may spend time in the cardiac catheterization laboratory, the non-invasive cardiac laboratory, the endoscopy unit, the respiratory laboratory or the ultrasound department.  The student is encouraged to be present during procedures performed on their assigned patients.

Arrangements may be made for the subintern to augment their experience through participation in the academic medicine clinic, working with the teaching faculty.

During the clerkship, the student will be asked to do at least one presentation for the team on a topic related to one of their patients. 

Typical Daily Schedule:
8:00 a.m.   Rounds
12 noon     Internal Medicine Noon Conference

Note:  Grand Rounds are held Thursdays at 8:00 a.m.                   

Bibliography:
Harrison's Principles of Internal Medicine, 17th edition

Internal Medicine Essentials for Clerkship Students 2, American College of Physicians, Clerkship Directors in Internal Medicine

Textbook of Medicine, Paul B. Beeson, Walsh McDermott, Russell L. Cecil