Internal Medicine Clerkship

The Internal Medicine Clerkship is a 12-week clerkship experience, in which students spend time in both an inpatient and outpatient setting.  In the inpatient setting, students will be assigned to the medicine teaching service, in which they will admit and follow patients who are acutely ill.  In the outpatient setting, students will work with general and specialty internists on a range of diagnoses common to Internal Medicine.  Students will also participate in a range of didactic sessions on this clerkship, including teaching around electrocardiograms, radiology and small groups focused on important issues in Internal Medicine. 

Assessment Methods Grade Composition
Written Clinical Evaluations 50%
OSCE 25%
Shelf Exam 15%
Clinical Pathological Conference Submission 5%
History & Physical 5%
Objectives
1. Describe the clinical features, differential diagnosis, work-up and management of common inpatient and outpatient medical conditions.
2. Complete a patient’s history and physical examination in an organized and thorough manner.
3. Order laboratory tests and radiologic studies, taking into account the appropriate evidence-based medicine and stewardship of resources.
4. Formulate a differential diagnosis based on a patient’s history, prioritizing the most likely diagnoses.
5. Devise an initial treatment plan for a patient, based on the available data, including a patient’s history, physical examination, and laboratory and radiology studies.
6. Effectively communicate, both verbally and in writing, with patients and other health professionals around a patient’s illness.
7. Identify gaps in knowledge and use available online resources to address those gaps.
8. Work collaboratively with other healthcare professionals, including nurses, pharmacists, social workers, physical therapists and unit secretaries around the care of patients.
9. Integrate health maintenance into patient encounters when appropriate.
Required Clinical Experiences
Internal Medicine Clerkship Experience Log

Instructional Text: Students must meet minimal, quantifiable criteria for successful completion of the core clerkship in medicine at Brown. The experiences listed below define these criteria. Please note: the cases discussed in our PBL sessions qualify as "simulated patients".

Checklist Item: Min # of Times Instructional Text
Evaluate/help manage Abdominal Pain in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Evaluate/help manage Altered Mental Status in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Attend interdisciplinary discharge rounds (inpatient setting) 1

Type of Patient:  Real

Student Responsibility:  Perform

Setting:  Inpatient

Evaluate/help manage Cardiac Arrhythmias in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Evaluate/help manage Chest Pain in the inpatient setting  2

Type of Patient:  Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Evaluate/help manage CHF in the inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Evaluate/help manage COPD/Asthma in the inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Evaluate/help manage Dementia in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Evaluate/help manage Fluid and Electrolyte Disorders in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Evaluate/help manage Hypertension in the inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Interpret CXR in the inpatient setting 5

Patient type: Real

Student Responsibility: Perform

Setting: Inpatient 

Interpret EKG in the inpatient setting 5

Patient type: Real

Student Responsibility: Perform

Setting: Inpatient

Obtain a patient history observed by faculty member in the inpatient setting 1

Type of Patient: Real

Student Responsibility: Perform

Setting: Inpatient

Perform an examination observed by faculty member in the inpatient setting 1

Type of Patient: Real

Student Responsibility: Perform

Setting: Inpatient

Evaluate/help manage Pneumonia in the inpatient setting 2

Type of Patient: Simulated, Real

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Evaluate/help manage Renal Insufficiency in the inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help Manage

Setting: Inpatient

Evaluate/help manage Syncope/Presyncope in inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help manage

Setting: Inpatient

Evaluate/help manage Thromboembolic Disease in the inpatient setting 2

Patient type: Simulated, Real

Student Responsibility: Evaluate/Help manage

Setting:  Inpatient

Evaluate/help manage Type 2 DM in the inpatient setting 2

Type of Patient: Simulated, Real.

Additional checkbox to identify: At least one pt. must be geriatric (over 70 years old)

Student Responsibility: Evaluate/Help manage
Setting: Inpatient