MD Education Program

Sub-Internships

The Sub-Internship is a rotation during which a fourth-year medical student takes on an expanded role in patient care, attending to progressive frontline duties and responsibilities regarding patient admission, diagnosis, treatment and discharge under close supervision. This experience is an exciting step forward for students and an excellent opportunity to practice and display maturing clinical skills.

Training Objectives

Upon completion of the Sub-internships in Internal Medicine, Family Practice, Surgery, OB/GYN and Pediatrics, medical students are able to complete the following tasks. These training objectives align with the IU School of Medicine MD Curriculum Competencies and Institutional Learning Objectives. This alignment enables faculty and students to understand how current student learning prepares them for the next stage in training and for their ongoing practice and maintenance of certification.

Perform and interpret a relevant, problem-focused history and physical examination in a hospitalized patient.

Formulate and justify a prioritized problem list and differential diagnosis in a hospitalized patient.

Formulate and justify a reasonable plan of care for a hospitalized patient.

Incorporate patient education on the basis of the patient’s needs.

Perform an appropriate written and verbal transition of care between providers and settings that minimizes the risk to patient safety.

Differentiate normal and abnormal structure, function, growth, and/or development in a hospitalized patient.

Explain the etiology, progression and/or prognosis of diseases, injuries, and functional deficits commonly seen in hospitalized patients.

Recognize clinical presentations and explain the underlying pathology and pathophysiology of diseases, injuries, and functional deficits commonly seen in hospitalized patients.

Describe the diagnosis, prevention, treatment or management of common of diseases, injuries and functional deficits commonly seen in hospitalized patients.

Analyze and evaluate diagnostic and therapeutic options using principles of evidence-based medicine.

Incorporate knowledge of behavioral, cultural, economic, educational, environmental, lifestyle and psychosocial factors to understand health, disease, care-seeking, care compliance, barriers to care and attitudes toward care, and apply these factors to daily patient care.

Respond to clinical questions by independently seeking, analyzing and synthesizing evidence-based answers to advance clinical decision-making.

Seek, accept and apply feedback to clinical practice.

Identify the role and contributions of and establish respectful, effective relationships with the various members of the multi-professional health care team.

Identify a patient’s social context and analyze how it relates to their current state of health.

Demonstrate responsiveness to the whole patient by advocating for the patients’ and teams’ needs over their own and treating patients in a fair, unbiased, nonjudgmental manner.

Act in a professional manner by demonstrating compassion, respect, honesty, integrity and punctuality.

Adhere to ethical and legal principles in all interactions.

Establish and maintain respectful relationships with members of the health care team (peers, faculty and inter-professional colleagues) to facilitate the provision of effective care to patients.

Communicate effectively with patients and their families by listening attentively, allowing opportunities for questions, and maintaining appropriate eye contact.

Modify communication style based upon patients’ reactions and ability to understand.

Incorporate elements of shared decision making into communication with patients to facilitate their active participation in their health care.

Construct oral presentations and written documents representing an accurate, organized and appropriately focused account of the student-patient interaction.

Emergency Medicine

Emergency Medicine

In the popular rotation, medical students serve as the primary caregiver for patients while working closely with faculty to develop and implement appropriate management plans.
Radiology

Radiology

The Radiology Core Clerkship includes one-on-one education at the view station during week-long clinical rotations in imaging areas such as chest, abdomen and brain.