Professional Documents
Culture Documents
Contact Information
This clinical clerkship is a 12-week rotation in which you will experience inpatient medicine,
along with subspecialties within IM. This rotation serves to provide a supervised high quality
clinical opportunity for third and fourth year medical students to transfer knowledge learned in
the classroom setting into the clinical setting.
At the end of your 4 week inpatient IM rotation, students should be able to:
1. Describe characteristic history, physical, and general treatment for the following
common disorders
Acute coronary syndrome
Acute Renal Failure
Alcoholism
Anemia
Asthma/Asthma exacerbation
Delirium/Dementia
DVT/PE
Cholelithiasis/-cystitis
Cirrhosis
CHF
COPD
Diabetes/DKA/HHS
GI Bleed
Hyperlipidemia
Hpertensive Urgency/Emergency
Meningitis
Pneumonia
Sepsis/Septic shock
Stroke
Syncope
Thyroid Disease
UTI
2. Formulate a prioritized list of differential diagnoses
3. Perform a comprehensive history and physical
4. Formulate an adequate diagnostic and treatment plan
5. Present in a concise and logical manner a presentation that includes H&P, pertinent
labs, imaging, and treatment
6. Perform detailed and accurate documentation in patient’s medical chart
7. Demonstrate compassion, professionalism, and respect
8. Demonstrate a desire to learn by exhibiting active participation and asking relevant
questions to residents, staff, and attending physicians.
Educational Resources
Hierarchy/Chain of Command
If, at any time, you have an issue you feel needs to be addressed, please go through this chain
of command. Your first point of contact should always be a resident on service, not the
attending, program director, or DME. If the issue cannot be resolved this way, please contact
one or both of the student liaisons and so on.
General Information
Work Hours
Schedule
Students are required to have a short call and long call schedule, just like the residents.
Short call students are required to be present from 6:30 AM-3PM. Long call students are
required to present the entire shift, from 6:30 AM-7PM.
It is possible that you will not stay until 3PM if you are short call or 7PM if you are long
call. This will be up to the residents on service to relieve you early if they see fit. It is
common courtesy not to ask to go home. Residents are well aware that you are present
and will relieve you when they see fit.
All students will be required to work one weekend day while on inpatient days.
Sign out will be every morning at 6:30 AM on the 2nd floor behind the nursing station.
Morning report will begin at 7AM in the GME 4th floor conference room.
Rounding times vary, but usually start between 9AM-10:30AM.
Didactics are every Wednesday from 12PM-5PM. Students are required to fill up the
front three rows.
Evaluations
Evaluations will be given to the senior resident in service after each inpatient rotation to
be filled out with the attending physician. If you give this evaluation to an intern or a
second year resident it will be invalid
Interns are not permitted to sign evaluations
Once the evaluations are filled out by other residents on service, the evaluations are still
required to be given to the student liaisons and may be subject to change when
uploaded as your final grade. This evaluation will be reviewed by the student liaison,
senior residents on service, and Dr. Michel. Based on their comments and views about
the student, the final grade will be uploaded.
Attendance
100% attendance is required to morning report and didactics. 100% attendance is expected
every day started with 6:30 AM sign out. It is encouraged to arrive earlier than sign out to learn
about your patients. You are excused from your rotation if you are able to provide
documentation of your absence and notify the team in advance. Please display professionalism
and respect by notifying your senior on service if you are running late or have an emergency
requiring your absence.
Student Expectations
Tips
Be nice, respectful, and courteous not onto the residents, but the staff members and
nurses as well.
The majority of the patients are Spanish speaking only. If you need a translator, find the
patient’s nurse and he/she will most likely be willing to help if able.
Try to be as helpful as possible for your resident and anticipate what they need to do
next. Residents always appreciate helpful students and the more you’ve gained their
trust, you will likely get to do more and receive more teaching.
Students are encouraged to work with different residents and interns to gain different
perspectives on how to manage patients.
The best way to learn on inpatient medicine is through self-directed reading. Go home
every night and read up on the conditions of your patients. Take the time to learn
everything you can about that topic, ask questions, and master it!
Mandatory case write-ups:
All student are required to write 8 case write-ups. What this is basically an admission note
preferably, or a progress note; however the latest does not provide enough information about
the patient most of the time. In addition, each report should include a summary of the main
illness that the patient presented with, for example: if the chief complain is headache, at the
end of the report you will do a summary of headaches. This documents are to be given to your
student liaisons for correction. The purpose of these are for you to learn and be educated on
how to write a proper note. Once you give them to the student liaisons they are supposed to go
over them and return them to you with notes and areas of improvement, after that you must
go over the notes and correct them and return to them for a final submission. You have until
the end of the 12 weeks to submit these documents, thus the earliest you start the better is
going to be for you.
Thank you and I hope you enjoy your time with us.