Medicine Sub-Internship

ELEC899 / PMDN 680

Department
Internal Medicine

Clinical or Non-Clinical Course
Clinical (Sub-I selective)

Physician Assessed Patient Facing
Yes

Prerequisites
Completion of Phase 2 Clerkships

Goal
The goal of the Medicine Sub-internship is to provide an educational experience where medical students will have direct responsibility for patient care (evaluation/assessment/notes/orders/presentation/consults/hand-off) including patient education/prevention. This rotation will help fourth year medical students develop skills to practice and function at a level of Medicine Intern in an inpatient setting. It will also help the students critically utilize principles of evidence-based medicine in their daily management of patients.

During this rotation student will act as “surrogate interns.” This will help them to broaden their knowledge, learn to accept progressive responsibility and improve clinical reasoning and decision-making. This will also help them develop their professional and interpersonal skills. Student will also attend daily didactic lectures such as morning report, noon conferences and grand rounds per Internal Medicine residency schedule.

Objectives
At the end of this course, the student will be able to:

  1. Dictate or type the history and physical examination (a minimum 3-4 new admissions per week).
  2. Assess and design a basic medical management plan for the admitted patient.
  3. Write admit orders after initial evaluation of the patient.
  4. Follow assigned patients, write daily progress notes, update problem lists and follow up on labs, x-rays, and other diagnostic tests ordered (no more than 5 patients per day).
  5. Discuss their clinical reasoning skills and therapeutic strategies.
  6. Present cases at Management Rounds, Morning Report and Teaching Rounds.
  7. Demonstrate understanding of their patients’ situations by discussing the various psychosocial, economic, religious and ethnic backgrounds of patients that underlie their belief and convictions. Engage in direct one-on-one relationships with patients that will enable them to deal with complex issues of individual patients.
  8. Actively work with social services to coordinate discharge planning.
  9. Demonstrate interpersonal skills and skills as a member of the health care team.
  10. Describe the common problems in Internal Medicine and be able to understand the various diagnostic and therapeutic interventions.
  11. Assess and formulate a plan for the following common clinical situations: hypertension, diabetes mellitus, congestive heart failure, chronic obstructive pulmonary disease, abdominal pain, chest pain, shortness of breath, cellulitis.

Method of Assessment
Standard Clinical 4wk Elective Evaluation - Honors/High Pass/Pass/Fail

Additional Methods
Feedback by the assigned resident(s) and attending physicians

Course Director
Saurabh Bansal, MD & Manajyoti Yadav, MD

Course Coordinator
Ashley Finney
afinney@uic.edu
309-840-7268

Location
SFMC

Setting
Inpatient

Night Call
Yes

Please Specify
5 consecutive nights 7pm-7am during week 2 or 3

Laboratory
No

Weekends
Yes
Please Specify
2-3 weekend days

House Staff
Yes

Number of Learners per Block
4

Duration
4 weeks

Who is this elective available to
M4s (in Phase 3)

Blocks Available
All except fall and winter break, and Block 11.