MEDI D607 M-IV Internal Medicine Clerkship (Four weeks)

During the fourth-year clerkship in Medicine, the student is given the opportunity to choose his/her experience from an array of options which include a ward acting-intern experience, working in the University’s Thomson Student Health Center, and rotating on a subspecialty service.  The student learns a core Internal Medical curriculum from faculty and peer lectures given two days per week on the most common clinical problems in internal medicine. The grade is determined from faculty evaluations of clinical performance and from a final examination given at the end of the four-week rotation.

The learning objectives for the M-IV Internal Medicine clerkship are as follows. The student will be able to:

1. Formulate the diagnosis and management of specified illnesses seen by internists (see list of disease in departmental orientation packet).

2. Recognize common abnormalities on EKGs.

3. Discuss how personal concerns about illness and death influence the care physicians give patients and their families.

4. Present to peers a well-organized verbal report on an internal medicine problem.

5. Prepare audiovisual aids and a handout for an oral presentation.

6. Present a research, organized, and typed clinical case report in a format suitable for publication.

7. Complete preparation of materials and participate in interactive faculty-led seminars on reading EKGs, monitoring critically ill patients, and assessing arterial blood gas abnormalities.

Students should call the attending physician (or his/her secretary) the week prior to the beginning of the rotation to establish the time and place for the initial meeting of the rotation.

NPSY D651 M-IV Clinical Neurology Clerkship (Four weeks)

During the Neurology clerkship, the fourth-year student will be assigned to one of the clinical teaching services. New patients and selected follow-up patients will be assigned by the teaching staff. Through the use of clinical lectures, conferences, and bedside rounds, emphasis will be placed on acquisition of skills in the use of the medical history and physical and neurological examinations to localize accurately disorders of the nervous system and to plan a comprehensive diagnostic and therapeutic program for the patient.

The learning objectives for the M-IV Clinical Neurology clerkship are as follows. The student will be able to:

1. Demonstrate proficiency in taking a neurology history.

2. Interpret data garnered through the medical history and neurological examination.

3. Interpret commonly used neurology laboratory tests, including brain images, EEG, and EMG.

4. Develop an efficient and effective diagnostic plan and therapeutic regimen for the patient.

5. Describe the differences in approach to a neurological patient in both an inpatient and ambulatory setting.

6. Discuss common neurological diseases.

7. Assess basic neuroscience information in the clinical circumstance.

8. Localize lesions.

9. Demonstrate respect, empathy, responsiveness, and concern regardless of the patient’s problems or personality characteristics.

SURG D607 M-IV Surgery Clerkship (Four weeks)

The core Surgery clerkship at the fourth-year level consists of academic and clinical experiences in orthopaedics, urology, ophthalmology, otolaryngology, plastic surgery, cardiovascular surgery, neurosurgery and anesthesia. The fourth-year clerkship is a continuation of the third-year Surgery experience and is designed to give exposure to the surgical subspecialties. Grading for the clerkship is on a pass/fail basis.

OBJECTIVES: During the clinical rotation, both office and hospital experiences are available to students so that they can study clinical problems unique to each of the surgical subspecialties, including the pathophysiology and treatment of such conditions. Management of ambulatory patients will be emphasized in most areas. The objectives listed below should be achieved during the fourth-year Surgery clerkship. The student will be able to:

1. Assess diseases commonly encountered in the following subspecialties: orthopaedic surgery, urology, ophthalmology, otolaryngology, plastic surgery, cardiovascular surgery, neurosurgery, and/or anesthesia.

2. Recognize indicated therapy and expected results from surgical procedures for these diseases.

3. Explain the appropriate time for patients to be referred and evaluated by a specialist for particular problems.

4. Demonstrate basic skills relative to the following subspecialties: otolaryngology, ophthalmology, and anesthesia.

5. Prepare a brief clinical paper pertaining to each selected subspecialty which may include a current review of the history, physical findings, evaluation, and management of a specific condition/diagnosis.

6. Conduct a literature search, including two specific references with each paper.

7. Participate in the pre, peri-, and post-operative care of surgical patients.

8. Attend clinics, office hours, hospital rounds, conferences, and lectures as required by each specialty.

9. Demonstrate respect for the patient’s privacy and empathy for his/her potential fears and apprehensions.

Letters will be sent to students approximately one week prior to the beginning of the clerkship instructing them where and what time to report.

Acting Internships