Doctor and Patient

philadelphia internal medicine

inpatient externship
in internal medicine

Specialty: Internal Medicine

MD2B Connect Physician ID # 209

Where will this rotation take place: This hands-on inpatient rotation will take place in Philadelphia, Pennsylvania (approximately 20 miles from downtown)

Hours: Monday - Friday 5:45 AM to 2-4 PM

Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.

 

What you will do: You will be under the supervision of a physician who is board-certified in Internal Medicine. The physician is on staff at Lower Bucks Hospital, and serves as Associate Program Director of an internal medicine residency program. He is also Director of the Hospitalist Program. He works closely with the internal medicine residents. 

As a core faculty member in an internal medicine residency program in Philadelphia, the attending physician is actively involved in resident education, and enjoys teaching and mentoring trainees. 

The typical day will begin at approximately 5:45 AM when you will meet the residents on your team at the hospital for patient handover from the night team. At this point, the patients will be divided among the residents on the team. Following this handover and assignment of patients, you will preround with the residents. The focus of prerounds will be to gather relevant information to assess patients and formulate the assessment and the day's plan. This information will be communicated to the team during teaching rounds and documented in the EMR.

 

Prerounds will last until approximately 8 AM at which point there will be a one-hour morning report. At morning report, the residents will convene to discuss interesting cases as "unknowns." Typically, cases are presented by PGY-1 residents and attendees work through the case to determine the diagnosis under the guidance of an attending physician. 

At approximately 9 AM, teaching rounds will begin during which patients on the service will be presented. The day's plan for the patients will be finalized during these rounds. Your interaction with the attending will take place during attending or teaching rounds. This is typically 1-1.5 hours in duration. Students interested in presenting cases to the attending should indicate that interest to the residents. 

Following teaching rounds, the team will work to implement the diagnostic and treatment plans. This may include completing notes, ordering labs, and arranging for patient discharge among other tasks. 

At Noon, there will be a one-hour confererence. This will be an educational session covering topics essential to the practice of internal medicine. 

In the afternoons, you will work with residents to work up patients and complete patient care related tasks. This may include visits to the Emergency Department to evaluate patients who are newly admitted. 

After one week of observation, you will take on an increasing role in patient care (please note that this is not a shadowing observership; you will be actively involved in patient care):

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  • You will take patient histories (no physical exams) under supervision.

  • You will present patients to the residents and attending physician.

  • You will research the literature to answer clinical questions at the point of care.

  • You may give topic presentations or talks to the team.

  • You will spend time with other healthcare professionals to understand their roles and responsibilities.

You will receive regular feedback on your performance. 

 

Please note that, at times, you will round with one of his hospitalist colleagues. 

Who should consider this rotation: International medical graduates (IMGs) and students seeking hands-on patient care experience in internal medicine.

​Will a letter of recommendation be offered: Yes, assuming that the IMG meets the expectations of the rotation. Dr. Desai will provide the physician with guidelines which will improve the quality of the letter. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft. 

​During the rotation: Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.

See Where Our Students Applying to Internal Medicine Have Received Interviews or Matched

Read Dr. Desai's Interview with Dr. Roy Ziegelstein (Vice Dean for Education at Johns Hopkins University School of Medicine and Former Program Director of the Internal Medicine Residency Program at Johns Hopkins Bayview Medical Center) about How to Match Successfully in Internal Medicine

PHILADELPHIA INTERNAL MEDICINE  TESTIMONIALS


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To start, schedule a free introductory meeting with Dr. Desai and his team