SELECT SIMDB - Inpatient Acting Internship-VA MICU

Primary Goals of Selective:

To provide a comprehensive experience in caring for and managing acutely ill patients in the intensive care unit of the hospital.

Specific Objectives:

1.        Students will complete and document in the electronic medical record system the history and physical exam of each patient assigned to them on the Inpatient Medicine Wards as well as all patient orders and daily progress notes.

2.        Students will perform an H&P on each new patient assigned to them and present the information to their attending.

3.        Students will read about the conditions pertaining to their patients and present to the attending physician the pathophysiology, diagnosis, and treatment plans.

4.        Students will attend all scheduled department conferences with the Medicine interns as documented by a sign-in sheet.

5.        Students will be present and round with their team every week day and one weekend day each week.

Attendance:

Students must be present every weekday and one weekend day each week.  Students are allowed two excused absences for interviews during the four week rotation.  These excused absences must be approved by the attending physician.  Any additional absences must be approved by the attending physician and the course director and must be made up before the semester is completed.  Documentation of such interviews must be provided to the course director.  Students will receive an incomplete until such absences have been made up.  Make-up days are at the discretion of the Course Director.

Resources for Learning:

The  student  is  expected to  use  general reference material such  as  the  Washington  Manual of  Therapeutics and  Harrison’s Principles of Internal Medicine to achieve a basic understanding of their patients’ diseases and their practical management. The resources of the ward team resident, attending physician, and consulting physicians should be used routinely to supplement the student’s reading, as well as recourse to journal articles and internet resources as needed.

Participating Faculty: Course Director, Medicine Ward Team Attending Physician

Texts:  Harrisons Principles of Internal Medicine

Hands-on Experience:  Supervised evaluation and management of acutely ill patients in the intensive care unit

Self-Directed Learning:  Focused review of topics directly related to the management of patients seen using the library and online resources.

Evaluation:

Students will receive an informal formative evaluation from the attending physician at the end of the first two weeks of the rotation.   Students will receive a summative evaluation by the attending physician in Myevaluations at the end of the rotation.