Goals & Objectives
Goal of the Clerkship
During the Internal Medicine Clerkship, students will acquire the clinical skills, knowledge, and professional behaviors necessary to evaluate and care for adult patients with growing independence guided by careful and consistent supervision from residents and attending physicians.
CLINICAL SKILLS: During the clerkship, the students will acquire and be able to demonstrate the clinical skills necessary to independently evaluate (with appropriate supervision) and care for adult patients with common medical problems. Specifically, the student will be able to do the following:
- Obtain from a patient an accurate focused or complete medical history based on the presenting complaint and appropriate to the clinical setting.
- Perform an accurate focused or complete physical examination appropriate to the clinical setting.
- Prioritize patients’ problems, formulate appropriate differential diagnoses, and develop plans for diagnosis and management.
- Prepare and maintain in an accepted format the medical record of the evaluation and care of inpatients and outpatients, including written or electronic entry of a complete history and physical examination, progress notes, procedure notes, clinic visit notes, physician’s orders, and prescriptions for medications.
- Communicate orally with other members of the health care team regarding the evaluation and care of a patient. This includes giving case presentations to ward teams, attending physicians, and consultants, and verbal instructions to ancillary health care personnel.
- Communicate to patients, families and caregivers the diagnosis, prognosis and treatment plan for their condition, and educate them about beneficial lifestyle behaviors and preventive health measures.
- Become familiar with routine procedures commonly required for the evaluation and care of patients, including venipuncture, bladder catheterization, arterial puncture, insertion of peripheral intravenous catheters, fecal occult blood tests, electrocardiograms, insertion of nasogastric tubes, use of sterile technique, and use of universal precautions.
KNOWLEDGE: During the clerkship students will acquire and demonstrate knowledge of the basic and clinical science of medical problems of adult patients listed in the following core curriculum problems. Appropriate knowledge includes:
- Background knowledge such as anatomy, physiology, biochemistry, genetics, pharmacology, pathology, microbiology.
- Clinical knowledge such as pathophysiology, epidemiology, clinical decision making, use and interpretation of diagnostic tests, pharmacology, medical ethics, and medicolegal issues.
- Develop an appreciation of how one builds and advances his/her medical knowledge base.
- Begin to develop the knowledge to intellectually extend a patient care interaction in order to explore the questions that will improve patient care for similar cases.
- Begin to develop the ability to assess and critique research related to clinical question.
Click on each core problem for detailed objectives and resources.
Students are expected to continue the process of lifelong learning and demonstrate knowledge that they know how to use the medical literature to research questions and further their understanding of the above problems.