STUDENT ELECTIVES

MED 546-E Sub-Internship in Internal Medicine

I.  Pre-requisite:  Credit in Medicine 541

    Duration:  4 weeks (available all blocks)

    Number of Students:  Minimum - 1; Maximum - 8

    Location(s):     Queen's Medical Center, Kuakini Medical Center, and Hawaii

    Medical Center-East

    Program Director or Coordinator:  Laurie Tam, M.D.

II.     Objective

The overall objectives of this sub-internship is to give students, who have demonstrated that they are ready to take on the responsibilities of a medicine intern, the opportunity to have an experience which will closely simulate that of a medicine intern's. Specifically, by the time he/she has completed this sub-internship, the student will be able to:

            a. Perform a complete and concise history and physical examination on patients admitted to a hospital, which would serve as the main history and physical examination in that patient's record.

            b. Write a set of orders which would be appropriate for the patient's illness.

            c. Follow the patient throughout his hospitalization and write appropriate problem-oriented progress notes describing that patient's care.

            d. Make necessary plans for discharge and follow-up of the patient after his hospitalization.

            e. Be able to perform any procedure which would be appropriate to the level of a 1st year Internal Medicine resident.

III.     Method

            As the Sub-intern, the student will be assigned to an upper level resident (R2 or R3) and will be directly responsible to that residnet as if he/she were the intern on that service. The Sub-Intern will participate in all the work rounds, teaching rounds, lectures and conferences like the interns at his/her assigned hospital.The Sub-intern will take rotational night call, usually every fourth night, and have weekend duties under the supervision of his/her assigned upper level resident. In addition, the sub-intern will have the opportunity to cross-cover with theintern on his/her team.

III.     Evaluation

            a. Ongoing observations by the supervising physicians will be used to assess the student's acquisition of knowledge and application of this to the patient. There is no formal written examination.

b. To obtain credit for this elective, all students must complete and return the elective evaluation form to the Department of Medicine.

V. Non-University of Hawaii medical students will be accepted on a space-available basis with the approval of the Program Director and the hospital Director of Medical Education. Such students must be able to demonstrate that they have competently completed a minimum of four (4) weeks on an inpatient internal medicine clerkship or elective.

VI. Contacts - Please contact the respective Medical Education Offices at least one week prior to starting your rotation:

Queen's Medical Center - Stacey Teramae - (808) 547-4381 steramae@queens.org.  Students should arrange for CARE*Link training prior to start of rotation by calling the CARE*Link Training Office at 537-7271.

Kuakini Medical Center - Iris Isa-Nunes- (808) 547-9226 i.isa-nunes@kuakini.org

Hawaii Medical Center-East - Debbie Miyajima (808) 547-6497 dmiyajima@hawaiimedcen.com

Revised February 2008  MED 546-E