MEDICAL STUDENT RELATED MATERIAL
Link to the Medical Student Curriculum (which guides Phase II lecture series)
Primer to the Internal Medicine Clerkship, Second EditionPDF | Word
Internal Medicine Subintership Curriculum PDF | Word
(taken from AAIM Resources - Publications, last accessed 03/18/2019, previous link at http://www.im.org/toolbox/curriculum/coremedicineclerkshipcurriculum/Pages/default.aspx now defunct)
Online H&P Form for Students: Online H&P Form for Students.docx
Evaluations:
Important Notes on Clerkship Evaluations.docx
STUDENT GRADING FORM
PRIME Grading Form.pdf
Tips for checking boxes.docx
YEARLY OVERVIEW OF CLERKSHIP 2018
Yearly orientation to clerkship.2018 (2) (1).pptx
Phase II CLERKSHIP OBJECTIVES
After this clerkship you should be able to:
Collect a hypothesis driven history and physical
Form an assessment statement
Organize a problem list
Form ulate a differential diagnosis and defend
Present in an organized manner
Gain knowledgein common internal medicine problems
Communicate, educate and advocate effectively with patients and health care team
Display professional behavior
Demonstrate a commitment to lifelong learning , EBM
Record emotional reactions
The Role of Medical Students on the Internal Medicine Wards
The curriculum and expectations for medical students at the UNM School of Medicine may be different from what you experienced during your training. We want to clarify what is expected of the third year medical students on medicine wards.
First, a note about UNM vocabulary:
· Phase 1 students are in their first two years of medical school
· Phase 2 students are in their third year
· Phase 3 students are in their fourth year
Phase 2 Students
Expectations:
- The Phase 2 Medicine clerkship (the third year clerkship) is currently a 8 week-long rotation divided between the University (4 weeks inpatient) and the VA (3 weeks inpatient, 1 week palliative care).
- The students should be an integral part of the medicine team
- The students should admit 1-2 patients per call day
- Students do not spend the night in the hospital
- They are expected to write a history and physical for their attending and to present the patient on call rounds. The H&P is to be turned in to the attending within 24 hours of the admission. This H&P, however, does not become part of the medical record.
- Students follow 3-5 patients daily
- Students pre-round on their patients
- Students write 2 notes per day
- They write 1 daily note under the note type "Medical Student Note" that needs to be reviewed by a house officer or attending. Residents may not put "agree with the above" to the medical student's note in place of his or her own note
- They write another note that is used for the purposes of coding and billing
- Phase II students do not dictate discharge summaries
Schedule:
- Work week no more than 80 hours/week
- Students have several required learning sessions and clinics scheduled during their clerkship:
- Didactic sessions, every Tuesday, 1:00 to 4:00 pm, protected study time afterwards
- Doctoring 6 which occurs every other month on a Thursday
- Specialty Exploration Experience (SEE, formerly known as "Continuity Clinic") 14 half days per year
- Protected study time Thursday afternoons (except for day call--no makeup time for this day)
- Shelf board, the last Friday of the 8 week rotation.
- Objective Standardized Clinical Exam (or OSCE) – taken by all Phase 2 students once every 16 weeks. Students are notified of the relevant date if they are on wards. Students do not come to work this day and should be allowed to leave the hospital by 5pm the night before the exam, even if scheduled to be on-call. This does not count as their day off as they are in exams all day.
- Days off:
- Students should be given one day off/week during weeks 1 to 3 and weeks 4 to 7 of the rotation.
- They have the weekend off between their 4 weeks at the University and their four weeks at the VA, as well as the weekend off at the end of the 8 week block. They also have several scheduled days off during the fourth week and eighth week of the clerkship.
- Days off should ideally be taken on a weekend day to minimize absences from teaching sessions
- Holidays are treated as weekends – students are expected to be there unless this is one of their scheduled days off
House staff responsibility for students:
· Welcome students as a member of your team
· Teach when you have a chance, listen and critique their presentations, review their notes
· Give feedback to the students that is timely, behavior-based, and specific
· Sign off on student logbooks/passports when you observe them doing one of the required activities such as ABG interpretation, examining a patient with CHF or liver disease, etc.
For attendings, it may be useful to review what is included in their log books and schedule some teaching or time for reviewing some of the topic
Clinical Supervision policy
Clinical Supervision of Students-DDedit.docx
Duty Hours Policy
Duty Hours Policy.docx
Student Mistreatment Policy
Student Mistreatment Policy Final 2017.pdf
Reassignment Policy Policy
Clinical Re-assignment Policy.pdf
Phase 3 Students
Scheduling Commitments
- Sub-interns have orientation and will join team rounds on Day 1
- Sub-interns will go to Intern Orientation
- Afternoon report with the team is mandatory
- 1 day off/week, rotation extends through Sunday of final weekend
COVID
- No positive/PUI patients, no N95s, only seeing patients after initial testing returns negative
Patient numbers
- No definitive expectations
- We suggest they start with 2 patients and get to 4 patients by end of first week
- We recommend discussion with the attending and resident prior to going above 5 patients
- We recommend against having the sub-intern see the same patients as the Phase II students (ok to cover day off)
Pagers/Tiger text
- Sub-interns are encouraged to answer team pager or respond to team tiger text starting in the 2nd week
- Sub-interns should clearly introduce themselves as students and run all questions/decisions by residents
- No Pager during pre-rounds or when intern/resident are immediately available (i.e. if resident leaves for the day and sub-intern still working on notes, they should not be carrying a pager)
Documentation:
- See separate documentation section on main page
Orders
- Sub-interns can/should write orders, these must be co-signed by an MD (intern, resident, attending)
- The sub-intern should ensure all orders they write are co-signed at an appropriate time
- The sub-intern CANNOT discontinue orders or complete medication reconciliation due to powerchart restrictions
Sub-intern info PDF (2020-2021)
Sub-intern Powerpoint Refresher for Workgroup (2020-2021)
If you have questions or comments about the students on your ward teams, please contact the Office of Undergraduate Medical Education:
· Patrick Rendon, MD - Clerkship Director
· Mary Lacy, MD - Associate Clerkship Director
· Allie Lara - Clerkship Administrator
FAQs on Mental and Physical Health Care during Medical School - 82818 FINAL.pdf
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