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Department of Internal Medicine

Quillen College of Medicine

Senior Medical Student Education Selectives

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

The senior year is one of the more exciting times in a student's medical education. It is a time during which medical students can explore their interest in medicine more specifically and gain more proficiency and confidence than in their junior year skills.

General senior year requirements:

--12 weeks of senior selectives - one 4-week rotation in each of the following:

    • Intensive care
    • Internal Medicine Inpatient Sub-Internship
    • Ambulatory care

--18 weeks of senior electives

--3 weeks of Keystone Course

Internal Medicine Selectives:

Internal Medicine department offers selectives in each of the above mentioned groups:

    • Medical Intensive care (MICU at VAMC/BRMC) and Pulmonary Critical Care Medicine (PCCM at JCMC)
    • Internal Medicine Sub-internship
    • Ambulatory experience in internal medicine clinics

  • During selective months, senior medical students will work as acting interns. Students have the opportunity for increased clinical responsibility and are given time to expand basic skills, strengthen areas of weakness, learn basic information in areas where there may not be future opportunity for such study, and to develop career goals.
  • During rounds applicable topics will be discussed with the management of common medical problems stressed. This will ensure that the student receives a high quality educational experience in Internal Medicine whether in-patient, intensive or ambulatory care setting. Students will take call during these selectives at the discretion of the attending.
  • Further detailed description of each of these rotations and their goals and objectives are available in the QCOM Sr. Selective & Elective course catalog


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. Registrars office record evaluation grade. It is pass/fail grading.


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.


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

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