College of Medicine MD Curriculum

Medicine Acting Internship – UTMC

Title of Clerkship: Medicine Acting Internship – UTMC 

Elective Year(s): Fourth year

Department: Internal Medicine

Type of Elective: Clinical

Clerkship Site: The University of Toledo Medical Center

Course Number: MEDI 704

Blocks Available: Varies

Number of Students per Block: Varies

Faculty: Basil Akpunonu, M.D. and various other faculty

Elective Description/Requirements:
Students serving as acting interns will function in the role of a primary physician for a small number of patients. The resident on the medical service as well as the attending physician will supervise the student. Students will perform all duties expected of an intern on an internal medicine service including performing the initial history and physical and written admitting orders, progress notes and discharge summaries. 

Length of Clerkship: 4 weeks

Educational Course Objectives and Links to EPOs:

1. Interview patients and review pertinent medical records collecting data concerning the patients’ presenting problems. (EPOs: PC-1)
2. Perform a complete or focused physical examination as appropriate and distinguish normal from abnormal findings. (EPOs: PC-1)
3. Synthesize information to develop a reasonable differential diagnosis and be prepared to present to the preceptor. (EPOs: PC-7)
4. Following an assessment of all assigned patients, students will describe the chief problems and a plan for treatment. (EPOs: PC-7)
5. Prepare a complete H & P for a new patient admitted to the service and chart the results. (EPOs: PC-1)
6. Periodically re-evaluate patients’ status including interpretation of new history and physical exam findings (EPOs: PC-1)
7. Document clinical encounters in the medical record. (EPOs: PC-1)
8. Communicate concise, pertinent information at the time of handoff. (EPOs: IPC-1, IPC-2)
9. Use and interpret laboratory and radiographic tests used in diagnosing common diseases. (EPOs: PC-6, MK-4)
10. Recognize and manage situations related to common diseases that are potential emergencies. (EPOs: PC-8)
11. Apply principles of health systems science in addressing clinical care issues for your patients. (EPOs: SBP-1, SBP-2, SBP-3,  SBP-5, PB-1)
12. Incorporate feedback, self-reflection and improvement into daily practice. (EPOs: PBL-1,  PBL-3)
13. Identify ethical problems which arise in patient treatment and care. (EPOs: PB-1, PC-2)
14. All students participating on this clerkship will meet or exceed the institutional standards for professional behaviors as evidenced by: (EPOs:  PB-1, PB-2, PB-3)
    1. adhering to the dress code consistent with clerkship standards.
    2. being punctual for all educational experiences (i.e. exams, clinics, rounds, small group sessions, appointments at the clinical skills center).
    3. fulfilling all educational assignments and responsibilities on time.
    4. displaying honesty in all interactions and situations.
    5. contributing to an atmosphere conducive to learning and is committed to advance scientific knowledge.
    6. establishing and maintaining appropriate boundaries in all learning situations
    7. using professional language being mindful of the environment.
    8. establishing effective rapport.
    9. being respectful at all times of all parties involved.
    10. resolving conflict in a manner that respects the dignity of every person involved.
    11. respecting the diversity of race, gender, religion, sexual orientation, age, disability and socioeconomic status.
    12. exhibiting humanism in all interactions.
    13. protecting patient confidentiality.
    14. being aware of and adapting to differences in individual patients including those related to culture and medical literacy
    15. recognizing personal limitations and seeking appropriate help.
    16. accepting constructive feedback and making changes accordingly.
    17. exhibiting independent and self-directed learning.

Professionalism:
UT/COMLS 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:

1. Small Group – clinical skills
2. Interpretation of lab data
3. Diagnostic tests – use/interpretation
4. Online module
5. Lecture/media
6. Independent study
7. Inpatient rounds

Evaluation Methods Employed:

1. Attendance
2. Case presentation
3. Case write up
4. Clinical Log
5. Faculty/ Resident
6. Narrative
7. Professionalism assessments
8. Clinical evaluation form

Prerequisites: Successful completion of required Internal Medicine Clerkship

Clerkship Director: Mani Askari, M.D.

Clerkship Coordinator: Dawn D. Jagodzinski
Phone Number: 419-383-5022
Email Address: dawn.jagodzinski@utoledo.edu

Special Requirements: Students will be expected to be in the hospital six or seven days a week. Call will be every fourth night on average. 

ECC Approved
June 2023