1. Medicine Clerkship Doug Paauw,M.D. Clerkship Director

2. 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.

3. 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

4. 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.

5. 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.

6. 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.

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

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

9. 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

10. 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

11. 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

12. 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.

13. 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.

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

15. Contact Us: 206-543-3237 Doug Paauw MD Clerkship Director
Chris Knight, M.D.
Associate Clerkship Director
Kellie Engle
Program Administrator

16. Questions?