Clerkship Program

The Medicine Clerkship is part of a 12-week core clerkship shared with family medicine and geriatrics. This rotation occurs during the third year of medical school.

Students are placed at either UH/VA, Metro or Cleveland Clinic hospitals for this rotation. Students doing their third year medicine rotation at UH/VA spend six weeks on the inpatient services at either University Hospitals or the Louis Stokes Cleveland VA Medical Center, along with one week as part of our medicine night float team and one week at a medical ambulatory site affiliated with either University Hospitals or the VA. During each of these rotations students are expected to be fully engaged evaluating patients. Students will perform histories, physical exams, gather data and start to use clinical reasoning to develop differential diagnoses and proper assessments and plans for different patient problems. Didactic sessions covering common internal medicine topics as well as quality and safety issues are spread throughout the rotation in an effort to complement clinical activity. During the inpatient rotation our students are assigned a specific teaching attending who will be certain that the oral and written presentations are on target as well as to hone in on the clinical reasoning skills of the student. A patient bedside conference, Grand Founds, Morbidity & Mortality conference and Intern Morning Report help to round out the academic rigor of the rotation. Additionally, students have access to a national bank of computer patient case simulations for online tutorials to supplement the ward time. A core topics list serves to focus student effort on important aspects of internal medicine as well as provides a framework for ward-centered learning. In addition to ward rounds and the didactic conferences noted above, students are required to return to the medical school on Friday afternoons for their IQ+ sessions. 

The assessment by the faculty and house staff of a student's ability to function as an effective and compassionate physician remains the cornerstone of the evaluation. The National Board of Medical Examiners Medicine shelf test is administered at the end of the Clerkship to assess each student's fund of knowledge as well. After completion of the third year Internal Medicine Rotation, our students are ready to take on the responsibilities of a fourth year acting intern, taking on greater responsibilities in patient care management, similar to a regular intern.