What you will do:

You will be under the supervision of a physician who is board-certified in Internal Medicine. The physician serves as Associate Program Director of an internal medicine residency program based in a teaching hospital located in a suburb of Philadelphia. The attending is also Director of the Hospitalist Program and 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 hour 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.

During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:

• Taking patient histories (no physical exams) under supervision.

• Presenting patients to the residents and attending physician.

• Researching the literature to answer clinical questions at the point of care.

• May give topic presentations or talks to the team.

• Spending time with other healthcare professionals to understand their roles and responsibilities.

Please note that, at times, you will round with one of his hospitalist colleagues. These attendings are members of the teaching staff in the residency program.

This is an audition rotation and previous rotators have been invited for residency interviews at this program. However, your chances of securing an interview depend upon your clinical performance. An interview is not guaranteed. Since most of your day will be spent with the residents on the service, it will be important to develop strong relationships with these residents as they will provide input regarding your performance to the attending physician. Students who demonstrate a strong work ethic, excellent teamwork skills, high degree of professionalism, the willingness to help out whereever it is needed, and put the needs of patients first will be well received. This rotation is best suited for students who have experience in other rotations and are not afraid to appropriately assert themselves to maximize their learning. Since the residents on this service often switch every 1-2 weeks, students who are comfortable adapting to new situations and teammates wil find it easier to meet the needs of the rotation and residents.

Please note that this experience requires a criminal background check or police report from your native country within the past three months.