Medical Student Responsibilites
Welcome to internal medicine! We are excited to have you with us and hope this will be both an enjoyable and challenging couple of months. This is an exciting time to be in medicine, with new therapies and diagnostics emerging at a dizzying pace. Here are a few guidelines for the rotation, so that you can get the most out of your time.
- The LCME has required that each student keep a log of all patients evaluated while on the internal medicine clerkship. You should have received a PDA with appropriate software during the orientation to clinical medicine prior to the beginning of the third year rotations. Recording such data will help give you an opportunity to review the clinical experiences you have had while on the internal medicine rotation and will allow clerkship directors to know what kind of experience you've had as an individual student. Further, the data will be used to determine which rotations offer a rich learning experience for the junior medical student. To assure accuracy, please document each individual patient encounter on a daily basis. You are required to download patient log data-whether you are rotating at KUMC or the VA Hospital this must be done and is best done daily. If you have any questions or problems with the patient log or down loading, please contact Mike Karr (see info. on following page).
- All clerkship students must attend Monday afternoon Faculty/Student Interaction sessions. Students must also attend the noon problem based case conference for students given by Dr. Doolittle, Dr. Opole, Dr. Naylor, Dr. Becker or the Chief residents. Sign-in is required.
- Attend all student conferences, daily morning report at 8:30 AM (except Wednesday and the second Monday of the month), and any resident noon conferences that don't conflict with your student lectures. These conferences deliver current information in a succinct format. No sign-in required (except for Grand Rounds).
- Write a full history and physical on each patient you pick up. This rotation is ideal for learning the art of a full H and P. It may be the only place you learn this. Do it as often as you can; being skillful will make you a better diagnostician. You should document at least 3 new H&P's per week. You are required to turn in 1 H&P Evaluation Form evaluated by a Faculty member.
- Write daily notes on each patient, outlining their progress and problem lists.
- Write the orders on your patients whenever possible. Have the intern cosign them.
- Maintain a patient load of 3-5 patients daily.
- You will take short call with an intern. This should give you around 4-5 calls per month. Some of the best learning opportunities are at night. Physically stay around that person as much as possible.
- Fill out the evaluations when asked, on all lecturers, faculty, residents and your experiences. Believe it or not, we READ THESE evaluations. This feedback has direct impact on the constant improvements we make to the medicine rotation and is the only way we can get your opinion of how the clerkship is meeting your educational needs.
Students must meet ALL the following requirements:
- Satisfactory or better for each ward rotation.
- Pass for the Observed H&P.
- Satisfactory or better overall.
- Completion of all assigned tasks.
- Raw score of 59 or better on NBME exam.
- Completion of patient data logging as required by clerkship.
Note: Student must repeat exam if s/he receives raw score of less than 59 on NBME exam. If repeat score is less than 59, student fails the course and must repeat clerkship. If repeat score is 59 or more, student is awarded a clerkship grade of Satisfactory regardless of other accumulated points.