Medical Students - Internal Medicine Residency Program

Students will function as a sub-intern on the inpatient pulmonary medicine teaching service at IMMC. Students will be responsible for the evaluation and ongoing care of four to six patients. Daily teaching rounds will occur with the assigned pulmonary medicine teaching attending. Students will also participate in the extensive daily teaching conferences of the residency program.

Students will function as a sub-intern on one of the three general internal medicine teams at the VA. Students will be responsible for the evaluation and ongoing care of four to six patients. Students will be under the supervision of a senior level internal medicine resident and one of the general internal medicine hospitalist staff physicians at the VA. Daily teaching rounds will occur and students will participate in the extensive daily teaching conferences of the residency program.

Students will function as sub-interns in the ICU at IMMC and are responsible for the evaluation and care of selected critically ill patients. Students will be under the supervision of a senior internal medicine resident and a pulmonary critical care staff physician. Students will have an opportunity to gain competence in the evaluation and management of critically ill patients as well as advanced procedural skills. Daily rounding and teaching occurs with the medical critical care team.

Students work with second-year internal medicine residents on a busy general medicine consult and hospitalist service directed by a general internal medicine or teaching hospitalist faculty member. Students will see patients from non-internal medicine services needing medical consultation and will learn the principles of pre-operative risk assessment and perioperative management of medical problems. In addition, students will provide ongoing care to patients admitted to the service.

Students work with an assigned second-year internal medicine resident and a member of the cardiology division teaching faculty. Extensive one-on-one teaching is provided with opportunities to care for critically ill patients in the CCU or cardiac telemetry unit. Patients are also seen in consultation on non-cardiac units at IMMC. Students also have opportunities to learn and perform invasive procedures including central venous line insertion, arterial line placement, and temporary pacemaker implantation.

Students work with an assigned second-year internal medicine resident and a member of the nephrology division teaching faculty, seeing patients with a wide variety of nephrology problems. Students participate in evaluation of new patients referred to the outpatient nephrology clinic for consultation, new inpatient consultation referrals, and dialysis patients seen on regular dialysis unit rounds. An excellent syllabus is provided and regular discussions on important nephrology topics are scheduled.

Students participate as members of an inpatient teaching service team. Each team includes general internal medicine teaching faculty, a senior resident, two interns, and two students. Students help direct care of assigned patients, experiencing an excellent variety of clinical conditions with a vast array of patient pathology. Teaching rounds are conducted daily and include review of didactic topics, medical literature, pharmacology education, discussion of new patients, bedside teaching, and radiology rounds.

Students participate in a general internal medicine ambulatory practice clinic (IMMC or VA) for three days each week. In addition, students will have the opportunity to spend two days during the four weeks in a cardiology clinic, two days in a hematology oncology clinic, and one day in an infectious disease clinic. One day is reserved for independent study and weekly case based learning exercises.

This clerkship emphasizes clinical skills development and introduces students to the practice of community-based primary care medicine. In particular, the clerkship emphasizes the interaction between the physician and the patient in a community-based setting and provides students with the opportunity to learn about the resources available to the physician for management of the health of individuals and of the community. Students divide their time between the physician preceptor's office and the community at large. In the office, students will work under the direct supervision of a physician. Community activities focus on health-related resources.