Medicine

Description

The Medicine clerkship is a three-month rotation that includes both inpatient and outpatient experiences. The goal of the rotation is to provide students with a foundation of knowledge in general internal medicine necessary to practice in any medical or surgical specialty. The rotation includes a radiology component that combines didactic teaching and mentored independent study, in order to provide students with the fundamentals of radiologic knowledge needed to practice in any field of medicine

During the twelve week inpatient portion of the clerkship students rotate on services at the University of Chicago Medical Center, Mercy Hospital and Evanston Hospital in the NorthShore University HealthSystem. Student will have 1-2 months of experience on general medicine services, two weeks of ambulatory general and subspecialty medicine, as well as the opportunity to work on impatient hematology/oncology and/or cardiology services. During each of these rotations, students function as active members of the ward team and assume a prominent role in the management of the patients. Two times per week, students meet in small groups with a faculty preceptor. In addition to significant teaching responsibilities, the preceptor has primary responsibility for monitoring the progress of each student during the clerkship. The preceptor is a person to whom students can turn if problems arise during the clerkship. The course directors are also readily available in case of problems.

The radiology component of the clerkship encompasses a 3-day intensive experience at the start of the clerkship. During the remainder of the clerkship students are required to complete a number of exercises that will introduce them to breadth of the field of radiology and assure acquisition of fundamental skills. Completion of these exercises is documented in an on line portfolio.

Available teaching conferences include Resident Morning report, the Medical Morbidity and Mortality Conference and Medical Grand Rounds. Teaching conferences provided specifically for students include an EKG lecture series and 3 full days dedicated to case based and didactic teaching conferences.

Clinical Evaluation

Students are evaluated in several areas, including the quality of written and oral presentations, clinical reasoning skill, general fund of knowledge, the ability to interact with patients and colleagues, reliability in caring for patients, and humanistic qualities. Feedback about each student’s clinical performance is solicited from physicians with whom the student works. Course directors encourage each attending and housestaff physician to meet personally with each student in order to provide feedback

Objectives

To gain insight into clinical principles and practice of internal medicine and radiology. Expectations regarding oral and written case presentations, number of cases to be seen and preceptor group participation are all explicitly stated during the orientation at the start of the rotation.

Evaluation of Clinical Clerks

Separate grades are given for the radiology and medicine portion of the rotation but competence in the radiology portion of the rotation must be met for students to achieve the highest grades in the medicine rotation.

Medicine Grade
  • Clinical Performance -  65%
  • Written Exam - 15%
  • OSCE - 15%
  • Case Presentation - 5%

Recommended Textbooks

Medicine
  • Symptom to Diagnosis: An Evidence Based Guide, Second Edition 2010. Stern, Cifu, Altkorn
  • Clerkship Preceptor Group and Ambulatory Syllabus
  • EKG Interpretation, Dale Dubin
Radiology
  • Learning Radiology: Recognizing the Basics (w/ Student Consult Online access), Second Edition 2011. Herring, Wm. Mosbey