College of Medicine MD Curriculum

Medicine Acting Internship – Riverside

Title of Course: Medicine Acting Internship – Riverside

Elective Year(s): Fourth year

Department: Internal Medicine

Type of Elective: Clinical

Course Site: Riverside Methodist Hospital

Course Number: MEDI 812

Blocks Available: Varies

Number of Students per Block: Varies

Faculty: Jay Anderson, M.D., Sanjay Patel, M.D. and other various 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 Course: 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)
  15. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
  16. Conduct structured patient handoffs using an evidence‑based communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)

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

Assessment Methods Employed:

  1. Acting Internship Assessment
  2. Case presentation
  3. Case write up
  4. Clinical Log

Prerequisites: Successful completion of required Internal Medicine Clerkship

Special Requirements:

  1. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience.  This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
  2. Students are expected to participate in structured patient handoffs as part of their clinical responsibilities.  This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.
  3. Students will be expected to be in the hospital six or seven days a week. Call will be every fourth night on average

Clerkship Director: Mani Askari, M.D.

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

ECC Approved
March 2026

Last Updated: 4/2/26