Ascension Providence Hospital Hospitalist Medicine

Rotation Director: Khalid Zakaria, MD

Rotation Location: Ascension Providence Hospital, Southfield campus

Duration of Rotation: 2 weeks (MSUCHM only) or 4 weeks

Students Per Month: 2

Work Hours: Per 2 weeks: 10 day shifts (7am-4pm) and 1 evening shift (4pm-10pm) 

Prerequisites: 2 years of medical school: MCE completion; internal medicine core clerkship completion for students from other schools 

MSUCHM Course #: MED 621 

Description: The general purpose for the Hospitalist rotation is to expose medical students to a non-resident driven inpatient system typical of most hospital systems, to further develop clinical skills in assessment, treatment, and discharge planning and to gain an essential knowledge of the different components of the hospital system and the resources available to coordinate a better delivery of the care plans. These skills will be gained through clinical experiences, which will be supervised at all times.

Goals & Objectives of Rotation:

• Manage up to 2 inpatients with attending supervision
• Learn to communicate effectively with patients, families and other providers in the evaluation and management of a patient and with consultants, outpatient providers, and other team members about patient care issues
• Learn how to coordinate care in a multidisciplinary team
• Observe or perform (under supervision) standard medical procedures as indicated/allowed
• Diagnose and treat common inpatient conditions, using available resources to make timely and appropriate diagnostic and management decisions
• Recognize the need for appropriate subspecialty involvement in complex cases
• Apply hospital and clinical guidelines in the diagnosis and management of patients
• Use the EMR, as allowed, to document patient information and to assist with care for inpatient internal medicine patients
• Provide effective sign-outs to other team members
• Participate in discharge planning, post-discharge paperwork and discharge summaries to maximize patient safety and well-being in the transition to the outpatient setting, including appropriate correspondence with outpatient providers, social work, and home health
• Demonstrate respect and compassion with colleagues, patients and their families
• Advocate for assigned patients within the healthcare system, demonstrating sensitivity to patients’ culture, age, gender and disabilities
• Become familiar with the billing process for inpatient admissions, daily care, and discharges  

Evaluation: At the end of the rotation, the Rotation Director will collect data from the supervising physician and other medical team members and complete a written evaluation of the student that is reflective of the student’s academic competence, procedural proficiency and professional attributes. The standard medical school form from the student’s medical school will be used. If required, the student should complete a case log and an evaluation of the rotation and submit them to their medical school. Medical students will be asked to evaluate the rotation at the end of the month.