ACTING INTERNSHIPS

Course Description and Objectives

In February 2001, the Curriculum Committee endorsed a new requirement to the fourth-year medical student curriculum to start in July, 2003. Fourth year students will complete a four-week Acting Internship (AI) in one of the following: Internal Medicine, Family Practice, Pediatrics, Psychiatry, Obstetrics and Gynecology, or Surgery. This Acting Internship for senior students emphasizes basic generalist competencies. Inpatient plus or minus ambulatory clinical learning experiences are used to achieve mastery of these competencies. The student has primary and direct responsibility for the continuing care of patients in the community or in one of the University of South Carolina School of Medicine programs at Palmetto Health Richland, the Dorn Veterans Affairs Medical Center, or the Greenville Hospital System. The objectives of this program are as follows:

A.  To provide students with the opportunity for direct and continuing patient care with graduated responsibility beyond the level experienced as third year students.

B.  To provide students with a variety of common patient problems relative to the discipline chosen.

C.   To improve student clinical skills, including

1.  Clinical Decision Making/Problem Solving,
2. History, Physical Examination, and Procedures,
3. Case Presentation,
4. Communication with Patients,
5. Test Selection and Interpretation,
6. Therapeutic Decision Making,
7. Medical Ethics and Professionalism,
8. Self-Directed Learning,
9. Prevention,
10. Systems-Based Care. (health care systems, office                   management, etc.)

D.  To provide a transition experience between medical student and resident (house officer) responsibility.

Acting interns are essential members of the ward teams, although students’ patient loads can be adjusted according to their aptitude. All selectives must give students substantial inpatient experience. Assessment will focus on core clinical skills. All courses listed for the selective also are available as electives, so any student may take several USCSM acting internships.

DEPARTMENT OF FAMILY MEDICINE
Family Medicine  FPMD D615 - Columbia
Family Medicine  FPMD D615 - Greenville

DEPARTMENT OF INTERNAL MEDICINE
Medicine Inpatient  MEDI D615 - Columbia
Medicine Inpatient  MEDI D615 - Greenville
MICU-CCU  MEDI D616  VA- Columbia
MICU-CCU  MEDI D616  PHR- Columbia

DEPARTMENT OF NEUROPSYCHIATRY AND BEHAVIORAL SCIENCE
Psychiatry  NPSY D615 - Columbia
Psychiatry  NPSY D615 - Greenville

DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Obstetrics and Gynecology  OBGY D615 - Columbia
Obstetrics and Gynecology  OBGY D615 - Greenville

DEPARTMENT OF PEDIATRICS
Pediatric Inpatient/General Ward   PEDI D615 - Columbia
Pediatric Inpatient/General Ward   PEDI D615 - Greenville

Pediatric Critical Care  PEDI D616 - Columbia
Pediatric Critical Care  PEDI D616 - Greenville

DEPARTMENT OF SURGERY
Surgery  SURG D615 - Columbia
Surgery  SURG D615 - Greenville
Surgery  SURG D615 - Spartanburg