Inpatient Medicine Sub-internship

Rotation experience

Sub-Interns will participate in morning report, noon didactics, conferences, M&Ms as outlined in their schedule.

Sub-Interns will maintain all of the typical intern responsibilities including/ such as:

• Participate in daily rounds
  • Take a thorough history and perform physical exam
  • Retrieve clinical information from the Electronic Medical Records and other sources
  • Present patients during Multidisciplinary Huddles and Teaching Rounds
  • Review orders with the supervising resident or attending preceptor
  • Communicate with consultants and other health care team members
  • Work cooperatively to formulate plans for inpatient management as well as post-hospital discharge care
  • Finalize treatment plans
  • Enter all documentation in the medical record
• Cultivate the physician patient relationship
• Learn to navigate health care systems
• Identify a patient with an interesting finding to research for the end of rotation case presentation.

Interdisciplinary rounding experience

Sub-Interns will participate in interdisciplinary huddles discussing care plans with case management, social worker, pharmacy, therapy, nutrition, and other ancillary staff.

• Sub-Intern will spend 2-4 hours with Physical, Occupational, and Speech Therapists to learn their role in the hospital and understand the recommendations and their importance in patient care.
• Sub-Intern will spend 2 hours with Nutrition services to review the basics of enteral and parenteral nutrition, malnutrition identification, and treatment.
• Sub-Intern will spend 2 hours with the Comprehensive Care Management team to review the process of discharge planning, identify potential hurdles in the discharge process and develop comprehensive care plans based on the information provided during Multidisciplinary Huddle.
• Sub-Intern will spend 2-4 hours with a pharmacist to learn about biomedical science, pharmaceutical and medicinal chemistry, principles of drug action, and basic concepts of pharmacokinetics and pharmacodynamics of medications.

End of rotation case presentation

The Sub Intern will work closely with one or more teaching faculty members to prepare a case presentation that incorporates evidence-based medicine resources to address a focused clinical finding for an interesting patient that the Sub-Intern cared for during the rotation.