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| Attendance | Written Exam | OSCE | End-of-Life | Eval | Textbooks |
GENERAL INFORMATIONThe Medicine Clerkship is an 8-week clerkship comprised of two four-week clinical rotations. All students will have two four-week inpatient (IP) rotations and one continuity clinic. IP rotations will occur either at Foster G. McGaw Hospital (LUMC), Edward Hines Jr. Department of Veterans Affairs Hospital (HVA), MacNeal Hospital (MAC), or West Suburban Hospital (WSH). Contintuiy clinic will occur at LUMC (and its affiliates), HVA, MAC or WSH. Students doing IP rotations will be assigned to different services at each hospital site. These service assignments are made by each site coordinator and will be made known to students by each site. Students will be assigned to a General Internal Medicine preceptor one half-day per week. The half-day clinic with your preceptor is for all 8 weeks of the Clerkship. During this half-day, you will be seeing patients with your attending in his/her clinic. This arrangement should facilitate continuity, improve feedback, and an overall positive education experience. At the beginning of each rotation there will be an orientation at each site, at which time students will receive pertinent materials. At the end of each rotation, hospital assignments are changed. Students are not on duty or on call over these "switch" weekends between assignments.
CORE CURRICULUMDuring the clerkship, there is a defined set of educational activities
in which students must participate.
Please note that the core ambulatory topics in Family Medicine also apply to your learning.
CLERKSHIP REQUIREMENTS AND EXPECTATION 1. Assist in providing care for assigned patients. This includes: Constructing H&P's, problem lists with assessments and plans, orders, and progress notes or, in the outpatient setting, longitudinal care follow-up notes (all records must be countersigned); Interacting with families as appropriate (at least one such interaction for each inpatient month must be witnessed and evaluated); Performing routine clinical procedures with appropriate supervision; Participating in rounds and demonstrating evidence of reading around patients; Taking call as assigned. (see # 4) 2. Prepare for, attend, and actively participate in all structured clerkship activities (including ER sessions, debriefing sessions, and examinations). During each inpatient month, a minimum of four (4) write-ups (admit notes--H&Ps, problem lists, assessments and plans--and admitting orders) must be completed by students and evaluated by housestaff or attendings using the "Write-up Evaluation/Feedback" form. A total of eight (8) write-ups with their accompanying feedback forms must be turned in by the end of the Clerkship. (Instructions for housestaff and attendings along with a sample copy of the form are included in the Appendix.) 3. Care conscientiously for all patients with appropriate standards of professional,ethical, and moral conduct.
CALL SCHEDULEStudents on IP rotations are assigned night call according to a schedule prepared at each hospital. Students are on-call no more than every fourth night. Responsibilities will be indicated during the orientation at each hospital. During the OP rotation there will be no call, but students will be assigned to several evenings and weekends in the ER and may be assigned to attend evening/Saturday clinics.
WORK SCHEDULESince the practice of medicine is not confined to a certain number of hours in a day, and since patient volume varies with a given service, it is difficult to assign students doing the Medicine Clerkship specific hours of duty. The following are guidelines only:
PATIENT WORK-UPSStudents are expected to do three complete H&Ps per IP rotation, write them up and discuss them with their assigned "Case Checker". Case Checker assignments are made by each hospital site coordinator and will be made known to each student at the beginning of each IP rotation. Each work-up will be evaluated by the Case Checker and that evaluation will count toward the students' Final Grades (see Evaluation and Grading Process).
ATTENDANCEAttendance is expected at all functions of the Medicine Clerkship, including orientation, Level I and II sessions, rounds, clinics, ER, debriefing sessions and exams. Absences from duty on any of the required activities listed in the previous sentence must be reported according to School policy. If you need to be absent, it is your responsibility to notify those people affected by your absence - for example, your service attending (or resident, if attending not available) on IP rotations, or your Anchor or clinic attending on OP rotations - AND the Medical Education Office or coordinator at your assigned site. During your IP rotations, it is expected you will have a minimum of 4 days off per month. Planned absences must be approved through the clerkship coordinator.
FINAL WRITTEN EXAMINATIONThere is one written examination during the Medicine Clerkship. The departmental exam will cover the “core” curriculum. This exam will be administered on the last day of the clerkship. Students will be off duty the day before the final written examination in order to study for the exam. There will be a post-OSCE review and exam preparation session held the day before the study day. You will not be required to return to duty or to be on call after the debriefing session. Two weeks prior to the end of each three-month clerkship, students will receive by e-mail the details of the final week. According to school policy (see Academic Policy Manual II), all students are obliged to take required clerkship examinations on the date, time, and place specified by the department. Exceptions to this policy may be granted for:
OSCE (Objective Structured Clinical Exam)
END-OF-LIFE PAPER (NO LONGER REQUIRED) We would like you to identify a patient who has a pertinent
end-of-life care issue (ie terminal cancer, anticoagulation risk, autonomy
issues, etc) that you have cared for in the hospital. Subsequent to the
hospital discharge, please arrange with the family for two separate visits
to see the patient and family outside the hospital setting. These times can
be at the Nursing Home, the patient’s home, or the clinic. There is
flexibility in these times and locations. Each visit should be no less than
thirty minutes.
FACULTY/COURSE EVALUATION:Students are required to evaluate their experiences during the Clerkship by completing the on-line Clerkship evaluation.
TEXTBOOKSMedicine (this website has excellent examples along with clinical
scenarios)
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