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: Family Medicine, Internal Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Psychiatry, 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 AI may also be completed as an “away” rotation; prior approval for such must be obtained from the respective Columbia or Greenville department chair.

The objectives of this program are as follows:

  1. To provide students with the opportunity for direct and continuing patient care with graduated responsibility beyond the level experienced as third year students.
  2. To provide students with a variety of common patient problems relative to the discipline chosen.
  3. 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.)
  4. 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 offerings must give students substantial inpatient experience and include night call. Assessment will focus on core clinical skills. All AI listings are also 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 PHR- Columbia

DEPARTMENT OF NEUROLOGY

Currently there is not an acting internship in Neurology available in either Columbia or Greenville. However, if a student wishes to fulfill his or her AI requirement by participating in a Neurology AI, this may be done as an away rotation.

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
Med-Peds AI PEDI D694 - Greenville

DEPARTMENT OF SURGERY

Trauma/Critical Care SURG D621
Surgery SURG D615 - Columbia
Surgery SURG D615 - Greenville
Surgical Critical Care Rotation  SURG D677