Rotation – Internal Medicine

Avg. time commitment – 40-50 hours/week

Program Director 
William Carter, MD
Assistant: Debbie Foster

Clerkship Coordinator: Courtney Cavignac

Residency Program Director: Dayton Daberkow, MD

Dress Code

  • Clinic attire at all times

Typical Schedule

Most days start at 6-7 and end by 3-5

  • 0600-0730 – Pre-round on your patients and write notes
  • 0730-0800 – Discuss your patients with intern/resident
  • 0930-1200 – Rounds with attending
  • 1200-1300 – Noon conference (MWF; Brent House 627)
  • 1300-1600 – F/U on patients, afternoon rounds
  • Your service will be on call every 5 days (“Q5”)

Relevant Locations

  • Noon lunch conference is in Brent House 627. Sometimes it is in Monroe Hall (near Southport cafe)
  • Each team has their own rounding room
  • Commonest hospital floors for IM patients are the 11th (gen med), 9th (post-op), 5th (gen med) and 3rd (cardiology)

Recommended Pocket Resources

  • Stethoscope
  • Pen light
  • Maxwell’s

Most Used Clinical Skills

  • All clinical exams – Full and Abbreviated (2-3 min) versions
  • H&P and SOAP presentations

Recommended Study Resources

Pocket resources (one will suffice in addition to Maxwell’s)

  • Pocket Medicine: The Massachusetts Gen. Hosp. Handbook of Internal Medicine
  • The Oxford Handbook of Clinical Medicine
  • Maxwell’s Pocket Medicine

Texts (2 will suffice)

  • Step Up to Medicine
  • First Aid for USMLE Step 2
  • ACP IM Essentials
  • Lange Current Medical Diagnosis & Treatment

Smart Phone/Computer resources

  • UpToDate
  • OnlineMedEd

The UQ Clinical Skills book (from Phase I) – this is actually a great review for your physical exams, signs and what they mean

Assessment

  • MidBlock Feedback Form + CPA + Attendance – P/F
  • Interprofessional Tutorial – P/F
  • Long case (1 hour; Week 8) – 50%
  • CEXs (1 formative, 2 summative) – 20% (10% each)
  • Short case (20 min) with presentation and discussion (prepare 3; present 2) – 30% (15% each)

Pearls for Success

  • There is A LOT of paperwork! Get started on things early on in the rotation.
  • Be on time and prepared to present your patients. Be concise but make sure your team knows that you have actually discounted important considerations rather than just skip over them. Know your team’s Spectralink phone number by heart. It’s the best way to find them when you need to.
  • Be useful to your team.
  • Be dilligent at doing your pre and post-reading. This will do your medical knowledge an enormous amount of good.
  • Read every night and practice every day.
  • You may not know the answers, but if you ask intelligent questions, the residents and attendings will remember you.
  • Learn the pharmacology
  • Learn about fluids. There are only about 5 major types and each has its own set of indications
  • Learn about electrolyte management, in particular the common ones like potassium and sodium. Know those inside and out.
  • Try to see a variety of patients with a broad spectrum of pathologies.