1. Internal Medicine Clerkship General Features Clerkship Length – 12 weeks 4 weeks General Medicine Inpatient 4 weeks Inpatient OR Ambulatory Service 4 weeks Consult Service ( NOTE: rotations are subject to change as new opportunities become available) General Objectives Gain the knowledge, skills and attitudes to assess a patient with an acute or chronic problem; to develop a rational differential diagnosis; to develop a basic diagnostic and management plan; and be able to provide this information to the healthcare team and the patient.

2. IM Clerkship Grading Components/Weights 40% Clinical Performance Score 30% Shelf Exam 10% H&P and Logbook completion 10% Theme-Based Addendums to H&P’s 10% Challenges in Medicine essay

3. IM Clerkship Distinguishing Features FeatureGalvestonHoustonAustin Number of students 40 to 50 / term 5 to 10 / term 10 to 15 / term Mix of rotations 4 inpatient wks 4 consult wks 4 outpatient or inpatient wks 4 inpatient wks 4 consult wks 4 ambulatory wks 8 inpatient wks 4 ambulatory wks Patient mix Hosp – indigent, private and TDCJ Amb - private Hosp – indigent, private Amb - private Hosp – indigent, private Amb - private

4. Internal Medicine Clerkship Distinguishing Features FeatureGalvestonHoustonAustin Typical work hours 50-60 hrs/wk 1 day off per week on inpatient 50-60 hrs/wk 1 day off per week on inpatient 50-60 hrs/wk 1 day off per week on inpatient Number of patients seen Avg 5-8 new pts per wk inpatient Amb / consult variable Avg 5-8 new pts per wk inpatient Amb / consult variable Avg 5-8 new pts per wk inpatient Amb / consult variable Call Every 5 th day until 7pm inpatient None on ambulatory consult Variable for St. Luke’s and St. Joseph’s. Every 4 th day on inpatient. None on ambulatory.

5. IM Clerkship Distinguishing Features FeatureHoustonGalvestonAustin Teaching sessions Variable Daily lectures Case-based Small group discussion format Special sessions Morning report Palliative Care Ethics case-based sessions Skillssessions Private practice exposure ECG, CXR, Harvey ECG, CXR, Physical Exam rounds with CMR

6.  Three forms – Galveston, Houston, Austin ◦ Due April 4 ◦ What types of inpatient experiences ◦ Consultative vs. primary care ◦ Hospital location in Houston  Ambulatory preference – online ◦ More instructions to follow ◦ Same system used for Pediatrics as well

7.  Be specific about your reasons for staying in Galveston  Rank all of the options  There ain’t no guarantees  If you pick Austin for General Medicine, you’re picking Austin for the whole 3 months