Education Coordinator: Neil Basmaji, MD, F.A.C.P.
Duration: One month
Maximum number of student per four-week period: Two
Candidates: Senior students of approved 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 PG-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 the daily assessment of each patient, presenting of these findings during daily work rounds, and for accurately recording patient findings, assessments, and management plans in the record. Notes are to 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 ultrasonic department. The student is expected 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 Ambulatory Community Medicine program at the private office of one of the teaching faculty.
Curricular emphasis is on genetic factors, environmental factors, psychosocial aspects, socioeconomic impact, and pathophysiology of disease.
At the conclusion of the clerkship, the student will be asked to examine a patient and made a formal presentation of this patient to the teaching faculty. The student is expected to be familiar with the current literature pertinent to the problem his/her patients exhibit.
Daily Schedule:
7:30 a.m. Morning Report
8:30 a.m. House Staff Patient Management Rounds
9:30 a.m. Teaching Rounds
11:30 a.m. Medical Specialty Conference
1:00 p.m. Visit Specialized Laboratories; Library; Preceptor Office or Outpatient Clinic;
Note: Grand Rounds are held Thursdays at 8:00 a.m.
Pathology Conference – Tuesday at 8:30 a.m.
Bibliography:
- "Textbook of Internal Medicine” by Harrison
- “Textbook of Medicine” by Beeson and McDermott
- “A Curriculum of Internal Medicine Residency-The University of Wisconsin Program"
