My third clerkship of M3 year and last rotation of the fall semester was Internal Medicine.
Timeline: 8 weeks
During this clerkship, we rotated on 4 different medicine teams for 2 weeks each. The teams were split between the VA and the University hospital.
Other: weekly lecture/case based study with quiz; NBME at the end of the clerkship
Each week, we also had simulated encounters. These were where we walked through critical cases, like hypertensive emergency, pulmonary embolism, and others, with a simulation mannequin. We were allowed to go through the whole case in our teams of 5 students. Each student had a different responsibility, from taking the history, doing the physical exam, monitoring vitals, and pushing meds. After the simulation was over, we would discuss what happened with an attending and talk about why we made the decisions we did and what we could have done differently.
We usually arrived around 6:30-7:00am in order to pre-round on the patients we were following. Rounds usually started around 8:00-8:30 and lasted until about 11:00, depending on how big the census was. In the afternoon, we would usually have lectures or conferences until about 3:00.
Each day, we were responsible for following 2-3 patients, which included pre-rounding, writing progress notes, and sometimes putting in orders and calling consults.
Step Up to Medicine: This book is super helpful during medicine! The helpful hints and key points are easy to go through to help refresh your memory on the important facts of certain topics. It is very concise, however, so might need some supplementation on topics that are less familiar.
UWorld questions: UWorld questions are always great to help grasp the types and format of questions that will be asked on board exams.
Emma Holliday Ramahi’s Review: This video review, which can be found on the UT San Antonio COM website, is a great study alternative to just reading a textbook. It is a quick, high-yield review that is great to watch the day before a final.
It might have been due to being at an academic institution, but our Internal Medicine clerkship was very “intellectual” (for lack of a better word) with lots of conferences discussing research papers and the latest journal articles. While these were sometimes interesting and I understand the importance of staying up to date on the latest recommendations, I would have enjoyed more time to spend with patients. I always find myself learning the most just from talking with patients and finding out direct from them about their symptoms and any potential complications. In all, however, I definitely did learn a ton during my Internal Medicine rotation.
Have you done an Internal Medicine clerkship? What was your experience like? Do you have any other questions about what my time on Medicine was like? Feel free to leave your comments and questions below.
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