Internal Medicine Rotation

Affiliate Rotations

Jefferson General Internal Medicine Third-Year Core Clerkship - Preceptor: Lisa Motz, MD

You will become an integral member of a general medicine teaching service team which includes up to two students, two interns, one upper-year medicine resident, and an attending physician. You will work closely with an intern and upper-year resident in the emergency evaluation, admission, and ongoing care of patients with a broad spectrum of medical problems admitted to general medical, observation, or progressive care units. 

You will be responsible for performing histories and physicals and will provide ongoing care for two to three patients at any one time.

You will attend morning report, grand rounds, and medical student and resident lectures. Emphasis is placed on development of strong presentation skills. Feedback will also be given on bedside interactions and written histories and physicals.

PCOM General Internal Medicine Third-Year Core Clerkship - Preceptor: Lisa Motz, MD

You will become an integral member of a general medicine teaching service team which includes up to two students, two interns, one upper-year medicine resident, and an attending physician. You will work closely with an intern and upper year resident in the emergency evaluation, admission, and ongoing care of patients with a broad spectrum of medical problems admitted to general medical, observation, or progressive care units. 

You will be responsible for performing histories and physicals and will provide ongoing care for two to three patients at any one time. 

Students will attend morning report, grand rounds, and medical student and resident lectures. Emphasis is placed on development of strong presentation skills. Feedback will also be given on bedside interactions and written histories and physicals.

Jefferson Primary Care Selective - Preceptor: Neha Majmudar, MD

You will spend three weeks caring for patients at a general internal medicine practice, sharpening interviewing and exam skills while learning about the patient-centered medical home model of care. You will also gain experience with electronic medical records and become familiar with principles of quality improvement. This rotation is offered during the required General Surgery Core Third-Year Clerkship.

PCOM Third-Year Core Cardiology Clerkship - Preceptor: Peter Will, MD

The Cardiology rotation will provide the student with experience in the evaluation and treatment of a spectrum of cardiovascular problems. The student will be linked with a resident to spend two weeks on the heart failure service and two weeks on general cardiology.

The clinical experience will emphasize the approach to diagnosis and management of acute and chronic cardiac diseases, as well as management of risk factors for disease. Learning goals focus on complete and accurate history and cardiovascular examination, basic approach to ECG interpretation, common indications for invasive and noninvasive diagnostic studies, and understanding of first-line medical therapy for common cardiac diseases. Computer-based ECG tutorials and cardiac auscultation simulations reinforce case-by-case learning. The student will also observe a variety of cardiac procedures during the rotation.

Internal Medicine Electives

Open to students from any LCME approved medical school pending verification of an active affiliation agreement with the school. Initiation and maintenance of affiliation agreements is determined at an institutional level, not by our department. Interested students should complete a rotation request form and will be notified of the agreement status and rotation availability.

Ambulatory Medicine at Berkshire Heights - Preceptor: Bryan Romero, DO

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of four weeks of general internal medicine experience

You may choose either a two-week or four-week block to care for patients in a busy internal medicine practice, refining history taking, physical exam techniques, and presentations skills. You will also gain experience with electronic medical records and review standards of preventive health care and screening. Transportation is required for this rotation, as the site is a short drive from the hospital campus.

Critical Care Medicine - Preceptor: James Kim, MD

Pre-requisites: completion of all third-year clerkships

You will spend four weeks as part of the ICU team that also includes four to five medical residents and an attending intensivist. The ICU environment provides an opportunity to learn about the care of critically ill patients, gain familiarity with the technologies and procedures utilized in this setting, and increase comfort level in dealing with complex ethical and psychosocial issues. Medical students are an integral part of the team, collecting vital patient data, providing emotional support to patients and families, and researching topics to improve patient care, with an emphasis on critical thinking and problem solving skills.

Third-Year Hospital Medicine Elective - Preceptor: Lisa Motz, MD

You will become an integral member of a general medicine teaching service team which includes up to two students, two interns, one upper-year medicine resident, and an attending physician. You will work closely with an intern and upper-year resident in the emergency evaluation, admission, and ongoing care of patients with a broad spectrum of medical problems admitted to general medical, observation, or progressive care units. The third-year student will be responsible for performing histories and physicals and will provide ongoing care for two to three patients at any one time. Students will attend morning report, grand rounds, and medical student and resident lectures. Emphasis is placed on development of strong presentation skills. Feedback will also be given on bedside interactions and written histories and physicals.

Fourth-Year Hospital Medicine Elective - Preceptor: Lisa Motz, MD

You will spend four-weeks as an integral member of a general medicine teaching service team which includes up to two students, two interns, one upper-year medicine resident, and an attending physician. The student will have the opportunity to work closely with one intern and upper-year resident in the emergency evaluation, admission, and ongoing care of patients with a broad spectrum of medical problems admitted to general medical, observation or progressive care units. You will function as a sub-intern, performing histories and physicals and providing ongoing care for two to four patients at any one time. You will attend morning report, daily midday conferences, grand rounds, and selected sessions of the student conference series. Emphasis is placed on development of strong presentation skills. Feedback will also be given on bedside interactions and written histories and physicals with a focus on development of a prioritized differential diagnosis and appropriate management plan.

Gastroenterology - Preceptor: John Altomare, MD

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of eight weeks of general internal medicine experience

You may choose either two or four weeks for this elective on a busy inpatient service, involving a large volume of patients with various GI system disorders. The rotation gives you the opportunity to improve physical assessment skills and to manage acute diagnostic problems, including gastrointestinal bleeding, inflammatory bowel disease, obscure abdominal pain, and hepatic, biliary, and pancreatic diseases. Exposure to various endoscopic procedures is also available.

Hematology Oncology - Preceptor: Daniel Forman, DO

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of eight weeks of general internal medicine experience

This elective experience, which is four weeks in duration, is conducted on the inpatient service of a busy hematology/oncology practice, and predominantly involves patients with hematologic or solid tumor malignancies. You will have the opportunity to improve physical diagnosis skills focused on recognition of complications of disease and therapeutic issues. In this clinical setting, you will also use peripheral blood smear and bone marrow evaluations to recognize and assess common hematologic problems. Recognition of general medical problems and common oncologic problems (such as neutropenic sepsis, neurologic emergencies, and pain syndromes) and the development of an appropriate plan are important objectives of this program. You will also participate in multidisciplinary tumor conferences conducted throughout the month.

Infectious Disease Rotation - Preceptor: Debra Powell, MD

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of eight weeks of general internal medicine experience

During this four-week elective, you become a member of a large hospital-based practice of consultative infectious disease, and will receive a short refresher course in microbiology, including interpretation of gram stains, culturing methods, and sensitivity studies. Experiences in HIV Clinic, STD Clinic, travel medicine, infection control, and wound care are included.

Renal Disease - Preceptor: Trudy Demko, MD

Pre-requisites: Completion of all third-year clerkships

This four-week elective provides an intense inpatient critical care experience with patients who are metabolically unstable or undergoing dialysis. This experience sharpens clinical decision-making and patient management skills, especially when dealing with very sick patients, often suffering from multi-organ failure. You will manage both the attending physicians’ patients and consultation practice patients. Here you face the challenge of evaluating and managing tough acid-base and electrolyte problems. This rotation is scheduled to coincide with second- or third-year residents’ time as teaching residents on the service.

Rheumatology - Preceptor: Gregory Emkey, MD

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of eight weeks of general internal medicine experience

During this two- or four-week elective, you will participate in the evaluation of a broad range of rheumatic problems and associated medical complications of both the conditions and their therapies. You will work with staff rheumatologists and residents on the inpatient and consultative rheumatology service, in the outpatient arthritis clinic, and in a private practice. Program focus areas include: history-taking methods used to discriminate between various inflammatory and non-inflammatory musculoskeletal problems; functional assessment; musculoskeletal examination skills; immunologic laboratory testing; and understanding the risks and benefits of non-steroidals, cortiscosteroids, immunosuppressives, and other disease-modifying drugs. Transportation is required for this elective, as you will be required to travel between the Hospital main campus and the rheumatology office.

Palliative Medicine - Preceptor; Vinti Shah, DO

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of eight weeks of general internal medicine experience

This elective experience, which may be two or four weeks in duration, is conducted on the inpatient service of our palliative medicine practice. The focus is an integrated approach of care for patients and families facing a serious chronic or life-threatening illness, including advanced pain/symptom management, developing goals of care, and addressing end-of-life issues. You will make daily rounds with the attending, participate in family conferences, and follow patients to assess symptom control. This rotation provides a unique opportunity to learn and practice both clinical and interpersonal skills related to difficult issues surrounding seriously ill patients.

Dermatology - Preceptor; Jonathan Zieff, DO

Pre-requisites: A minimum of six months of third-year clinical rotations AND a minimum of four weeks of general internal medicine experience

The student may choose either a two-week or four-week block to care for patients in a private dermatology practice. Emphasis will be placed on taking a relevant history, accurately describing the skin findings, and generating an appropriate differential diagnosis. The student will observe common procedures and learn about dermatologic manifestations of systemic disease. Additional hands-on clinical experience is provided at Reading Hospital Dermatology Clinic. Clinical learning is supplemented by self-study materials. You are welcome to attend medical student and resident conferences in the Department of Medicine as the schedule permits. Transportation is required for this rotation, as the site is a short drive from the hospital campus.

Policies for Current or Prospective Students

ABSENCE POLICY

While days off from a rotation are sometimes necessary, they do impact the educational experience and so should be minimized.

  • The Clerkship Director and Clerkship Coordinator must be notified in writing of any planned absences or notified as soon as possible for unexpected absences.  The Supervising Attending must also be notified by the student.  Failure to notify us is considered a Professionalism issue and may be documented on the final evaluation.  The student may call the main hospital number if specific contact information is not available.  If the student’s school has a specific policy on missed days, we will follow it.  Students are responsible for knowing the school’s policy.  Any student requesting more than three days off should provide us with a copy of the school policy or documentation of approval by the school.
  • If there is no formal school policy, we permit a maximum of one day absence per week of the rotation (i.e. four days over four weeks), for any reason (illness, interviews, personal). For the inpatient medicine service, work may be made up by rounding on weekends if approved by the Clerkship Director. Other rotations DO NOT permit weekend rounding to make up missed days. Make up work may not be possible.
  • Exams or special sessions required by the school do not count as missed days.

CANCELLATION POLICY

We understand that there are instances when circumstances change and a student may need to cancel a rotation. In order to be fair to all students who would like the opportunity to rotate with us, we strongly discourage last-minute cancellations.  Students cancelling a rotation less than 30 days prior to their start date should be aware that the cancellation will be reported to their medical school’s Dean’s Office for review.

POTENTIAL APPLICANT POLICY

Fourth-year students who are considering applying for our residency program should note that our resident selection process is separate from our clerkships and is not determined by whether or not an applicant rotates at our facility. Only candidates meeting the baseline criteria will be invited to interview.  At a minimum, candidates will have passed each step of the Boards on the first attempt.