Internal Medicine

Afilliate Rotations:

Jefferson General Internal Medicine 3rd Year -Core Clerkship Preceptor: Lisa Motz, MD

Internal Medicine DoctorsThe student 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. 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 floors or telemetry 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, daily midday conferences, grand rounds, and a special lecture series for students. The clerkship director will review the student’s written histories and physicals and provide feedback periodically.

PCOM General Internal Medicine 3rd Year Core Clerkship - Preceptor: Lisa Motz, MD

The student 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. 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 floors or telemetry 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, daily midday conferences, grand rounds, and a special lecture series for students. The clerkship director will review the student’s written histories and physicals and provide feedback periodically.

PCOM Cardiology 3rd Year Core Clerkship - Preceptor: Peter Will, MD

The student will spend each morning with a team of medical residents and an attending Cardiologist caring for cardiac patients in the intensive care unit. Afternoons are spent seeing consults throughout the hospital and observing procedures or diagnostic studies. Learning goals focus on complete and accurate history, cardiovascular examination, ECG interpretation, and indications for various invasive and noninvasive diagnostic studies. Computer-based ECG tutorials and cardiac auscultation simulations reinforce case-by-case learning.

Jefferson Primary Care Selective - Preceptor: Magda Gabriely, MD

The student will spend 3 weeks caring for patients at a Patient-Centered Medical Home Internal Medicine practice, sharpening interviewing and exam skills while learning about this model of care. The student will also gain experience with electronic medical records and become familiar with principles of quality improvement. This rotation is offered during the student’s required General Surgery Core Third Year Clerkship.

Internal Medicine Electives:(open to students from any LCME approved medical school)

Ambulatory Medicine at Berkshire Heights - Preceptor: Ronald Herb, DO
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 4 weeks of general internal medicine experience

The student may choose either a 2 week or 4 week block to care for patients in a busy Internal Medicine practice, refining history taking, physical exam techniques, and presentations skills. The student 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 3rd year clerkships

The student will spend 4 weeks as part of the ICU team that also includes 4-5 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. This rotation is scheduled to coincide with the residents’ schedule, to allow student participation in the mandatory ICU orientation program.

3rd Year Hospital Medicine Elective - Preceptor: Lisa Motz, MD

The student will spend 4 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 floors or telemetry 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, daily midday conferences, grand rounds, and a special lecture series for students. The clerkship director will review the student’s written histories and physicals and provide feedback periodically.

4th Year Hospital Medicine Elective - Preceptor: Lisa Motz, MD

The student will spend 4 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 floors or telemetry units. The fourth year student will function as a Sub-Intern, performing histories and physicals and providing ongoing care for two to four patients at any one time. Students will attend morning report, daily midday conferences, grand rounds, and selected sessions of the student conference series. The clerkship director will review the student’s written histories and physicals and provide feedback periodically, with a focus on development of a prioritized differential diagnosis and appropriate management plan.

Cardiology - Preceptor: Peter Will, MD
Pre-requisites: Completion of a minimum of 4 weeks of general internal medicine experience

The student will spend each morning with a team of medical residents and an attending Cardiologist caring for cardiac patients in the intensive care unit. Afternoons are spent seeing consults throughout the hospital and observing procedures or diagnostic studies. Learning goals focus on complete and accurate history, cardiovascular examination, ECG interpretation, and indications for various invasive and noninvasive diagnostic studies. Computer-based ECG tutorials and cardiac auscultation simulations reinforce case-by-case learning. In addition to refining cardiac physical exam skills, 3rd year students will focus on collecting and presenting an appropriately focused cardiology H&P, while 4th years will delve deeper into prioritizing a differential diagnosis and developing a management plan.

Gastroenterology - Preceptor: Carl Mele, MD
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 8 weeks of general internal medicine experience

Students may choose either 2 or 4 weeks for this elective on a busy inpatient service, involving a large volume of patients with various GI system disorders. The rotation gives each student 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: Simi Rai, MD
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 8 weeks of general internal medicine experience

This elective experience, which is 4 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. Each student will have the opportunity to improve physical diagnosis skills focused on recognition of complications of disease and therapeutic issues. In this clinical setting, students 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. Students will also participate in multi-disciplinary tumor conferences conducted throughout the month.

Infectious Disease Rotation - Preceptor: Debra Powell, DO
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 8 weeks of general internal medicine experience

During this 4 week elective, each student becomes 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.

Renal Disease - Preceptor: Trudy Demko, MD
Pre-requisites: Completion of all 3rd year clerkships

This 4 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. Program participants manage both the attending physicians’ patients and consultation practice patients. Here they 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: Peter D. Nicholas, MD
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 8 weeks of general internal medicine experience

During this 2 or 4 week elective, the student participates in the evaluation of a broad range of rheumatic problems and associated medical complications of both the conditions and their therapies. Each student 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 the student will be required to travel between the Hospital main campus and the rheumatology office.

Palliative Medicine - Preceptor; Theresa Mercurio, MD
Pre-requisites: A minimum of 6 months of 3rd year clinical rotations AND a minimum of 8 weeks of general internal medicine experience.

This elective experience, which may be 2 or 4 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. The student 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.