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First Aid for Jefferson Clerkship Students

Internal Medicine Programs

General Information - Contacts

Clerkship Director Dr. Jessica Salt, 215-955-4768
Course Coordinator Stacey Mullen, 215-955-8737

Current Liaisons (2012-2013)

3rd Year Liaisons Katie Piwnica-Worms
Chris Terry
4th Year Liaisons Desmond Wilson
Stephanie Myrick

Site-Specific Information

Program Comparisons at a Glance

Criteria Christiana Einstein Jefferson Lankenau
Number of Students at Site 8 9 21 8
Number of Students/Resident 2 or 3 1 or 2 2 or 3 2 or 3
Fellows No No Yes No
Average Hours/Day 11 11 11 11
Weekend Hours No Varies with Call Varies with Call Varies with Call
Evening Call (on call) Yes, until 8 Yes, until 9 Yes, often until 9-11 Yes, until 8
Students from other schools Yes Yes No Yes
Housing Provided Yes No No No

Criteria Methodist Reading York
Number of Students at Site 8 5 1 or 2
Number of Students/Resident 1 or 2 2 or 3 1 or 2
Fellows No No No
Average Hours/Day 11 10 9 or 10
Weekend Hours Varies with Call Yes - 4 days/8 weeks Yes - 2 weekend days
Evening Call (on call) Yes, until 8-9 Yes, until 8 or 9 Yes, until 9 or 10
Students from other schools Yes Yes Yes
Housing Provided No Yes Yes

Rotation Basics:

  • There are evaluations filled out by every attending, resident and intern you work with. Some sites (like Christiana) make you responsible for getting those evaluations and turning them in. Your final grade is Honors/Excellent/Good/Marginal/Fail.
  • Grading is on a RIME scale - Look up the basics.
  • Of course, there is a SHELF exam. 100 questions, 2 hours and 45 minutes. Unlike other rotations the SHELF exam for Medicine is on the last Thursday (not Friday).
  • There is no OSCE, but there is an online Research Project - Evidence Based Medicine.
Rotation Structure
  • Internal Medicine is a little unique in that it happens over 2 blocks. Students either have Medicine Block 1 & 2, Block 3 & 4, Block 5 & 6 or Block 7 & 8. That is why dropping/adding Internal Medicine must be done on a 1:1 basis. Because Internal Medicine happens over two blocks (12 weeks) it is divided into two, 1-month Medicine blocks and a Neuro month. All students will spend 1 of the three months doing Internal Medicine at the Jefferson Hospital, and then 1 month at an Affiliate site. So, for those of you not planning to live in Philadelphia next year, you must find a place to stay during your Internal Med month at Jefferson.
What books/materials/white coat supplies do you need?
  • Most students found that a stethoscope, penlight, Maxwell’s, Pocket Medicine, and plenty of pens were all very helpful. Students recommend Case Files, Step-Up to Medicine, Boards & Wards, PreTest, or First Aid for Internal Med.
Student-suggested helpful hints:
  • UpToDate is the best resource to read up on patients while in the hospital. Try printing out one UpToDate article a day on something relating to your patients, or just caught your attention, and read it later that day, either at work or at home. Much of this information will come up on rounds and with patients you'll see. Also, take advantage of your residents. Remember to go over questions in MKSAP you didn’t understand with your team. It’s good to get a discussion going and hear how others approach and solve clinical problems. Other good resources include Harrison’s Online, eMedicine, Step-Up to Medicine, Case Files and/or Pocket Medicine.
  • For the Shelf exam, you should allow your patients to guide your reading and go through MKSAP at least once, maybe twice.
  • Stay on top of things! There is a lot to know for medicine, but it is most useful to read up on what each of your patients has (diagnosis, causes, signs/symptoms treatments, etc.). Take home information about your patients’ conditions and try to make a plan for the next day. It will really help you with the "P" section of your SOAP notes, especially during the first week.
  • Try to be familiar with common diagnostic/prognostic criteria such as Light's, Ranson's and Duke's criteria. You will surely be asked about this at one point during your rotation so best to be prepared.

Last revised: 07/12

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