Senior Medical Student Education Sub-Internship

General Information | Selectives | Electives | Sub-Internship/Lectures

- Is a required rotation for all senior students and offered at three different hospital sites (VAMC/JCMC/HVMC).

Senior Students Academic Half Day: During the Sub-Internship, students are required to attend the M4 academic half day (AHD) regardless of student’s primary assignment venue The AHD is a new mandatory educational activity held weekly on Thursday afternoons during blocks where Sub-Internship is offered. It is from 1-5pm in Building 1 VA campus in the Medicine or Pathology Conference room. Standardized curriculum for the Medicine Sub-internship includes a combination of core conferences on “Cardinal Manifestations of Disease” (common patient complaints faced by interns regardless of specialty), and case-based discussions reinforcing the core conferences. A live group feedback session will also be held each block, along with a core session on systems-based practice and a career planning session. Lectures are presented by teaching staff, fellows and chief residents. Lectures will be recorded and will be available on this website for students scheduled for Sub-Internship during blocks where no selectives are offered and so no live AHD is available.

AHD usual schedule and speakers:

Time

Topic

Speaker

Recorded Lecture

WEEK ONE

1 PM

Dyspnea

Mehta/Bhatheja

Dyspnea & Cases

 

2 PM

Dyspnea Cases

Mehta/Bhatheja

3 PM

Chest Pain

Al Balbissi/Singh

 

4 PM

Chest Pain Cases

Al Balbissi/Singh

 

WEEK TWO

1PM

Fever

Youssef/Elmezayan

Fever & Cases

 

2 PM

Fever Cases

Youssef/Elmezayan

3 PM

Altered Mental Status

Ibrahim/Panchal

Altered Mental Status & Cases

 

4 PM

Altered Mental Status Cases

Ibrahim/Panchal

WEEK THREE

1 PM

Abdominal Pain

Young/Borthwich/Litchfield

Abdominal Pain & Cases

 

2 PM

Abdominal Pain Cases

Young/Borthwich/Litchfield

3 PM

Headache

Bajaj/Locke

 Headache

 

4 PM

Headache Cases

Bajaj/Locke

WEEK FOUR

1PM

 

 

 

2 PM

System Based Learning

Bochis/Summers

 

3 PM

Career Planning

Geraci

Career Planning

4 PM

Feedback Sessions

Ibrahim/Geraci

 

A live group feedback session will also be held each block, along with a core session on systems-based practice and a career planning session. Lectures presented by teaching staff, fellows and chief residents.

SIM Lab:  The Simulation Lab offers students the opportunity to practice mandatory QCOM procedures.  The mandatory procedures required for all seniors during internal medicine sub-internship are:

1.    Lumbar Puncture

2.    Paracentesis

3.    Thoracentesis

It is a mandatory graduation requirement for students to log these procedures. 

Please log them as soon as completed.

Evaluation 

Students’ performance will be observed and informally evaluated at all times by the attending physicians of clinical rotations. Standardized evaluation forms will be used at the end of rotations. The attending physicians will be notified electronically through New Innovations to complete the evaluations. After the evaluation is completed the clerkship secretary retrieves it and notates it on the Banner System and forwards it to Student Affairs. Registrar’s office record evaluation grade. It is pass/fail grading.

Absences 

Due to the short length of each Senior Internal Medicine Selective/electives, 100% attendance will be expected. Excused absence should be approved by the course director. Please also refer to the QCOM Fourth Year Attendance Policy QCOM New Innovations website. 

CONTACT NUMBERS FOR HOSPITALS 

In the event of a needle stick, splattered blood, etc., the student should immediately contact the following people so the necessary paperwork and testing may be started.

Hospital Medical Education Contacts:

JCMCH | Tawanna Holland | 423-431-6431

VAMC | Lisa Myers or Stephen Culbertson | 423-926-1171

Wellmont HVMCH | Rita Forrester | 423-224-5075