College of Medicine MD Curriculum

Family Medicine Acting Internship - Mercy Health

Title of Clerkship: Family Medicine Acting Internship - Inpatient

Elective Type: Acting Internship

Department: Family Medicine

Clerkship Site: Mercy Health – St. Luke’s Family Medicine Residency Program

Course Number: FMMD 728

Blocks available: Variable

Number of students per block: 1

Faculty: Megan Cranor, DO; John Hanna, MD; Suchitra Nair, MD; Anna Nelson, MD; David Oram, MD; Chris Zona, MD

Elective Description/Requirements:
The goal of the inpatient experience is to allow the fourth year student to accept responsibility for the planning and execution of ongoing care of hospitalized patients. Evaluate patients in the emergency room to determine if hospitalization is necessary and to perform the duties of a Family Medicine Resident. Students will be expected to work five days per week and some weekends. Each acting intern must complete two on-line modules to prepare the acting intern for their role as teachers of junior medical students.

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

1. Perform the initial assessment/evaluation for selected patients admitted to the Family Medicine service through the Emergency Department.  Plan and execute the ongoing care of hospitalized patients admitted to the Family Medicine inpatient service.  Prepare a complete discharge plan (EPOs:  MK-2, MK-4, MK-6, PC-2, PBL-1,  PC-6, IPC-1 PC-1, PC-6, PC-7, PC-8, PC-9, PB-1, PB-2, PB-3)
   
   1. Interpret patient labs, radiographs, and other diagnostic tests throughout hospital course. (EPOs: MK-4, PC-6
   2. Identify alternative options and approaches for patient care. (EPOs: PC-7)
   3. Select, request and arrange for appropriate diagnostic, therapeutic and patient education services. (EPOs: PC-6, PC-7)
   4. Discuss consequences and possible outcomes of care options with the patient, patient’s family, attending physician, and referring physician. (EPOs: PB-2, IPC-1, IPC-2)
   5. Explain rationale for management with the senior resident and attending physician. (EPOs: MK-4, PC-7, IPC-1)
   6. Consult appropriate physician and non-physician specialties. (EPOs: IPC-1, IPC-2, SBP-5)
   7. Demonstrate appropriate patient interview, physical exam, and counseling techniques. (EPOs: PC-1, IPC-1)
   8. Document daily assessment of patients on the inpatient service. (EPOs: PC-1, PC-6, PC-7)
   9. Document daily results of diagnostic procedures and the results and findings of the therapeutic procedures in progress notes on all assigned patients. (EPOs: PC-1, PC-6, PC-7, IPC-1)
   10. Present the patients’ problems and results of care to resident or faculty supervisors at rounds, conferences, seminars, or an individual consultation. (EPOs: IPC-1)
   11. List discharge medications. (EPOs: MK-6, PC-6)
   12. Develop a post-discharge care plan. (EPOs: PC-7)
   13. Compile a list of special and community services that the patient will require. (EPOs: PC-7, PC-9)
   14. Counsel patient and family as to appropriate care, possible problems, and follow -up. (EPOs: IPC-1)

Professionalism: UT/COM students will meet or exceed the institutional standards for professionalism as stated in the current Educational
Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

• Inpatient rounds
• Lecture - Patient session/case study 

Evaluation methods employed:

1. Attendance
2. Faculty/Resident Observation
3. Case/presentation

Prerequisites: Successful completion of third year required Family Medicine clerkship.

Clerkship Director: Rameez Bhatti, MD

Clerkship Coordinator: Lindsey Brillhart
Phone Number: 419-383-5557
Email: Lindsey.Brillhart@utoledo.edu

Special Requirements: Weekend schedule will be arranged by the senior resident/attending physician.

ECC Approved
November 2023