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Internal Medicine MS IV Subinternship
Goals & Objectives
Exit Interview
Goals and Objectives

To advance the medical knowledge and clinical skills acquired during the third- year IM clerkship and to improve efficiency in the clinical setting.

Medical Knowledge
Reading on assigned patients is expected and reading on non-assigned patients is encouraged. Recommended General Internal Medicine textbooks include Harrison’s or Cecil’s. Geisinger offers many electronic resources to all students rotating here through our Infoweb, including Up To Date, Harrison’s, MD Consult, OVID, etc. It is recommended that you prepare several short presentations for your team during your rotation. You also should attend morning report and noon conference daily.

Patient Care
Interviewing:The ability to obtain a medical history and perform a physical examination is fundamental to the role of a physician in providing comprehensive care to patients. As a fourth-year student, you are expected to perform the admission H&P and daily interviews/progress notes on your assigned patients. The resident on your team will review your written work. You will present your patients during rounds using the standard SOAP note format.

Physical Exam Rounds: As a group led by the chief resident, you will examine patients with the goal of refining your exam skills. If you have patients on your service with interesting exam findings, you are encouraged to discuss this information with your assigned team.

Procedures:  You will have the opportunity to perform procedures on your assigned patients. As a fourth-year student, you must have direct supervision during all procedures.

Communication and Interpersonal Skills
The doctor-patient relationship is the essence of practicing medicine, and most physicians consider this the most satisfying aspect of their practice. Proficiency in communication and interpersonal relationship skills is critical because you will interact with a diverse array of patients, physicians, and other health professionals. You will experience how diversities of age, gender, race, culture, socioeconomic class, personality, and intellect require sensitivity and flexibility. Effective communication with patients results in increased patient and physician satisfaction, better patient outcomes, and reduced malpractice claims.

Students are expected to behave in a professional manner with patients and colleagues at all times. Professionalism requires a commitment to the highest standards of excellence in the practice of medicine and serving the interests and welfare of the patient. Professional behavior includes the traits of honesty, commitment to life-long learning and service, respect and compassion for patients and colleagues, maintenance of personal appearance, respectful language and behavior, responsibility for actions, and recognition of one’s own limitations.

Practice-Based Learning 
Students are expected to perform investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence, and improvements in patient care.

Systems-Based Practice
Students should demonstrate awareness of and responsiveness to the larger context and system of health care, and the ability to effectively use system resources to provide optimal care.

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This page was last modified on  10/12/2011