Clerkship Program

The Medicine Clerkship is part of a 12 week core clerkship shared with family medicine and geriatrics.  This rotation occurs during the 3rd year of medical school. 

Students are placed at either UH/VA, Metro or Cleveland Clinic Hospitals for this rotation.  Students doing their 3rd year medicine rotation at UH/VA spend 6 weeks on the inpatient services at either University Hospitals or the 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 Hospital or the Veteran’s Hospital. During each of these rotations students are expected to be fully engaged evaluating patients.  The students will perform histories, physical exams, gather data and start to use clinical reasoning to develop differential diagnoses and proper assessments and plans for the 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 rounds, morbidity and mortality conference and intern morning report help to round out the academic rigor of the rotation.  Additionally, the 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 to provide a framework for ward-centered learning. In addition to ward rounds and the didactic conferences noted above, the students are required to return to the medical school on Friday afternoons for their IQ+ sessions.  .

The assessment by the faculty and housestaff of the student's ability to function as an effective and compassionate physician remains the cornerstone of 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 3rd year Internal Medicine Rotation, our students are ready to take on the responsibilities of a 4th year acting intern, taking on greater responsibilities in patient care management similar to a regular intern