DEPARTMENT OF MEDICINE
GENERAL MEDICINE WARD SUB-INTERNSHIP CLERKSHIP
MAXIMUM NUMBER OF STUDENTS ROTATING ON SERVICE AT ONCE. Four (4).
LENGTH OF ROTATIONS. Four (4) to six (6) weeks.
WILL TAKE STUDENTS FOR TWO WEEKS ONLY? Yes. Two week rotations will be considered on an individual basis after approval and discussion with the Chief of Medical Residents.
LEVEL OF STUDENTS ACCEPTED Fourth year.
TIME OF YEAR OFFERRED. Flexible start dates throughout the year.
PRIOR APPROVAL (FROM DEPARTMENT REQUIRED) AND ELIGIBILITY.
- Offered primarily to medical students with an Army obligation (HPSP and USUHS).
- Students from other uniformed services and civilian students from mainland schools are welcome on a space-available basis from November to May (excluding December).
- All students (except USUHS and University of Hawai'i) will apply for a clerkship utilizing the form entitled “ Request for Approval of Clinical Clerkship Training.”
- USUHS fourth year students will apply using USUHS Form No. 1304 for clerkship request.
- The TAMC Student Coordinator will obtain permission from the appropriate rotation official upon receipt of the application and will then inform the student of approval/disapproval via e-mail.
OBJECTIVES/DESCRIPTION OF CLERKSHIP.
- The General Medicine Ward Service is an inpatient clinical rotation that accepts up to four sub-intern clerks per rotation.
- The General Medicine Service consists of four housestaff teams, consisting of one ward attending staff physician, one resident (PGY-2 or PGY-3) and 2 PGY-1 interns.
- The average inpatient census is 12-16 patients per team.
- Patients admitted to the services are cared for primarily by housestaff.
- The disease processes encountered include the broad spectrum of illnesses seen in Internal Medicine.
- Diagnostic and therapeutic management of patients with disorders encountered in Gastroenterology, Cardiology, Pulmonary Medicine, Endocrinology, Nephrology, Rheumatology, Hematology, Oncology, and Neurology is emphasized.
- We provide care to active duty soldiers, sailors, airmen, and marines, as well as to VA beneficiaries, retirees, dependents, and various non-DOD/VA affiliated civilians from around the Pacific Rim.
- Students participating in this rotation will be responsible for caring for patients under the direct supervision of the ward resident and interns.
- The average number of admissions will be two to four per week per student, and each student will follow three to five patients on a daily basis.
- Exposure and experience in necessary diagnostic procedures will be integrated into the rotation.
- Each student will attend daily rounds, daily Department of Medicine teaching conferences, and attending rounds.
- Students may present admissions once in Departmental Morning Report.
- Participation in the sub-internship is excellent preparation for an internal medicine residency.
- Medical students who are considering application to Tripler Army Medical Center for internal medicine residency training are strongly encouraged to complete a sub-internship.
FREQUENCY OF CALL. There is no overnight call during the ward rotation. Students will be expected to stay until 1900 (7:00 P.M.) once per week with their respective ward teams.
REQUIRED READINGS. Each student is expected to read appropriate textbooks and literature based on identified patient problems.
OTHER REQUIREMENTS. Each student is expected to attend Internal Medicine conferences, to include morning report and noon conference.
HOW ARE STUDENTS EVALUATED?
- A comprehensive evaluation based upon observed performance, presentations, and written work will be completed by the staff attending and resident at the end of the rotation.
- Mid-rotation feedback will be provided routinely to each student.