Ascension Providence Hospital Internal Medicine Sub-Internship

Faculty Contact: Ana Capatina-Rata, MD

Rotation Location: Ascension Providence Hospital, Southfield Campus

Duration of the Rotation: 4 weeks

Students Per Month: 4

Work Hours: Weekdays; some call may be expected 

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

MSUCHM Course #: MED 628

General: The sub-internship in internal medicine provides the medical student an opportunity to assume responsibility for patient care at the level of the PGY-1 resident.  The sub-intern is a key member of the resident team, providing patient care in a state of the art community hospital.  Each sub-intern is provided the opportunity to advance their skills in history taking and physical examination, problem formulation, and patient management. Sub-interns work directly with the senior resident and faculty rounder to develop diagnostic strategies and treatment plans for each assigned patient. Students are responsible for assessing each assigned patient daily, presenting their findings during work rounds, and for accurately recording patient findings, assessments and management plans in the medical student template. Notes will be reviewed daily.

The sub-intern may be provided the opportunity to participate in specialized procedures.  He/she may spend time in the cardiac catheterization laboratory, the non-invasive cardiac laboratory, the endoscopy unit, the respiratory laboratory or the ultrasound department.  The student is encouraged to be present during procedures performed on their assigned patients.

During the clerkship, the student will be asked to do at least one presentation for the team on a topic related to one of their patients. 

Recommended Reading:

  • Harrison's Principles of Internal Medicine, 20th edition
  • Internal Medicine Essentials for Clerkship Students 2, American College of Physicians, Clerkship Directors in Internal Medicine
  • Textbook of Medicine, Paul B. Beeson, Walsh McDermott, Russell L. Cecil

Typical Daily Schedule:

  • 8:00 a.m. (generally) Rounds
  • 12:00 p.m. (M, T, W, F) Internal Medicine Noon Conference
  • Teams take call every 4th day, alternating day and night call (12 hours each). Student call may vary
  • Sign-out is usually held at 4 pm on non-call days
  • Grand Rounds are Thursdays at 8:00 a.m.  Tumor Board is on the second Friday of the month at 7:00 a.m.

Evaluation: 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.