Medicine Clerkship Doug Paauw,M.D. Clerkship Director

Structure 12 week clerkship- 2/3 in hospital and 1/3 clinic Some pilot programs for more hospital time may be available Most Seattle sites have 3 four week blocks, one of which is in clinic WWAMI sites- generally 6 weeks WWAMI and 6 weeks in Seattle. WWAMI placement can be either first or second 6 weeks. Billings, Boise and Spokane offer 12-week tracks.

Sample time tables Week 1 – 4 Weeks 5 – 8 Weeks 8 - 12 HMC In-patient Seattle (except Madigan) HMC In-patient UWMC Clinic UWMC In-patient WWAMI Sites (WWAMI placement may be first or second 6 week block) WWAMI HMC/UW/VA In-patient Spokane VA In-patient Boise (Spokane and Billings track) T E S T

Seattle In-Patient Sites HMC - Call every 5th night with short call one senior resident, 2 interns, 2 students, 1 sub-intern UWMC and VA - Call every 4th One senior resident, one intern, 1-2 students, 1 sub-intern Virginia Mason – Admit on average 2 out of 3 days Overnight call 2 days a month. One resident, 1-2 interns, 1 student and hospitalist attending.

Seattle Ambulatory Sites HMC, VA, UWMC – University residency clinics with opportunities for home visits (VA), indigent care (HMC), virology (UW) – Two students per site. UWPN Shoreline/Kent and Polyclinic – one-on-one teaching by attending – One student per site.

WWAMI Sites with Residents Boise 2 months inpatient, I month clinic Call every 5th night with the resident/intern team. 4 – 6 students Madigan Fixed call days- Tues/Sat or Mon/Fri 1 senior resident 1-2 interns. Option for 1 month inpatient, 1 month clinic. 2 – 4 students Spokane 2 months inpatient, I month clinic. Flexible call schedule. 4 students.

WWAMI without Residents Wenatchee, WA 2 students private practice Subspecialty option Montesano, WA 3 weeks with more hospital time

WWAMI without Residents Douglas, WY 1 student private practice Jackson, WY Sheridan, WY 2 students at Sheridan VA (mostly outpatient)

WWAMI without Residents Anchorage, AK 1 student private practice (4 weeks inpatient/2 weeks hospitalist). 1 student at Elmendorf (inpatient/outpatient) Soldotna, AK 1 student in rural practice/ lots of procedures/ICU experience

WWAMI without Residents Billings, MT 1-2 students private practice Specialty exposure if you would like Dillon, MT 1 student rural private practice Lots of procedures Missoula, MT 4 weeks outpatient/2 weeks hospitalist

Didactics Weekly clerkship lecture in Seattle, Thursday AM’s. Digitally taped for students at WWAMI. Clerkship Site Director didactics weekly Chief Medical Resident problem solving/physical diagnosis rounds Team lunch conferences, x-ray rounds, attending rounds

Hours 4 days off per month while on Seattle/Boise/Spokane in-patient rotation. Call is taken with your team. School of Medicine work hours policy: No more than 80 hours of awake time in the hospital or clinic per week. Weekends are free on Seattle ambulatory block WWAMI – very flexible call. Take call with your attending. Contact Student Program 4 – 6 weeks before start date for weekend (Sat./Sunday) time off request.

What Do I Need? Pager – Seattle students are expected to provide their own pager. Some WWAMI sites provide pagers (it is okay to check ahead of time). Credentialing paperwork. Pay close attention to forms required for your site. Forms are required to be submitted two weeks prior to your start date. Textbook (Internal Medicine Clerkship Guide, Paauw DS, Mosby 2003) Stethoscope WWAMI: Laptop. Review WWAMI housing description on the clerkship website for details.

Evaluation Clinical performance is evaluated by interns, residents and attendings. National Board of Medical Examiners Internal Medicine Subject exam in 2009.

Contact Us: 206-543-3237 Doug Paauw MD Clerkship Director dpaauw@u.washington.edu Chris Knight, M.D. Associate Clerkship Director cknight@u.washington.edu Kellie Engle Program Administrator kaengle@u.washington.edu

Questions?