- To improve the senior student's ability to assess acute medical patients and plan their in-patient evaluation treatment.
- To advance the student's understanding of the patho-physiology and differential diagnosis of diseases affecting the acutely hospitalized general medical or medical intensive care unit patient.
- To advance the student's knowledge of the methods of laboratory evaluation and invasive diagnostic monitoring of hospitalized medical patients, including electrocardiography, thoracentesis, paracentesis, lumbar puncture, endoscopy, intra-arterial blood pressure monitoring, and Swan Ganz monitoring.
- To introduce the student to the management of patients requiring ventilatory support.
- To refine the student's approach to appropriate consultation and referral of complicated patients to medical sub-specialists and surgical specialists.
- To improve the student's approach to the follow-up care of recently discharged medical patients.
- To advance the student's overall competence in the care of hospitalized medical patients to the level of a beginning intern.
As sub-intern, the student will function as an integral member of the General Medicine in-patient service.
Guided by a supervising resident, the student will perform a complete evaluation of each assigned patient upon hospital admission, including the initial history and physical exam and review of admitting laboratory and X-ray data.
He/she will then write hospital-admitting orders, to be co-signed by the supervising resident. He/she will make daily follow-up rounds on each assigned patient, write daily progress notes and orders, initiate discharge planning, and dictate his/her patients' discharge summaries.
The student will participate in General Medicine attending rounds five or six days weekly, formally presenting his/her patients to the attending physician.
The student will review medical literature pertaining to the assigned patients in order to further his/her medical knowledge and support his/her differential diagnosis and therapeutic plans.
The student will have alternating weekends off.
In addition to attending rounds, required conferences include daily noon resident and teaching conferences.
Students will attend the Grant General Medicine Clinic and take night call every fourth night.
Satisfactory completion of the Junior Year Internal Medicine rotation