Internal Medicine Clerkship
Clerkship Goals & General Objectives
The overall goal of the Internal Medicine Clerkship is the mastery of the basic core competencies that are essential for practice as a competent physician focused on the ACGME core competencies. The Internal Medicine Clerkship will focus on these competencies in the context of the delivery of care of adult patients in internal medicine. The overall desired end point is the mastery of basic core competencies that are essential for practice as a competent physician, regardless of career focus to include:
- Acquisition of a body of knowledge and skills necessary for the recognition and management of patients with common medical diseases and disorders and for the provision of good patient care,
- Refinement of history-taking and physical examination skills and development of diagnostic decision-making skills,
- Development of an evidenced-based approach to the evaluation, management and care of patients,
- Commitment to ethical principles and behaviors that promote effective patient and professional relationships, including honesty, integrity, reliability and compassion,
- Recognition of the constantly evolving nature of knowledge and the value of intellectual curiosity and lifelong learning,
- Exploration of preventive medicine and psycho-social-environmental factors that directly influence disease and promote better patient outcomes,
- Recognition and appreciation of one’s own limits, values and need for growth as well as recognition of one’s own response to criticism, and
- Development of personal characteristics including professional appearance and appropriate balance between one’s personal and professional life.
Core Clerkship Leaner Objectives
Upon completion of the nine-week Internal Medicine Clerkship the student will be able to:
- Obtain a thorough history and perform an appropriate physical examination in a time-efficient manner.
- Present clinical data in both written and oral form in a clear and cogent fashion.
- Synthesize data in order to be able to generate a pertinent problem list and relevant differential diagnoses for each identified problem.
- Develop a diagnostic plan to differentiate rationally between possible diagnoses.
- Perform routine technical procedures commonly required on an internal medicine service.
- Interpret diagnostic tests and perform laboratory procedures effectively to confirm or clarify a diagnosis.
- Discuss the cost and utility of specific laboratory tests.
- Construct a management plan reflecting an understanding of physiology and pharmacologic principles with the goal of optimizing the patient’s ultimate well-being.
- Establish effective communication with patients, patients’ families and colleagues.
- Respect and support the patient’s autonomy, individuality and right to privacy, confidentiality, dignity and quality of life, and freedom from undue discomfort or injury.
- Recognize ethical dilemmas and avoid conflict between one’s own ethical beliefs and choices made by patients and their families.
- Identify appropriate consultation resources, both medial and non-medical, as well as community resources.
- Recognize awareness of his/her own feelings as a medical student and the patient’s feelings about illness.
- Recognize the importance of cost-effective health care, quality assurance and practice guidelines in today’s health care market, and recognize one’s role as an advocate for access to health care for all patients.
- Function comfortably within the hospital or outpatient setting working as a team member with faculty, peers, ancillary personnel and other health care professionals.
- Recognize potential medico-legal issues.