Archive for January 23, 2011

Internal Medicine – 今までの話

January 23, 2011

It seems like in the blink of an eye, 12 weeks has turned into 5. This week was the beginning of the second half of my internal medicine at WHMC and things have unexpectedly shifted gears. Before I explain how, I needs must recap my experience of the first half of IM.

At Wyckoff, IM is split into two modules: service and private. For six weeks, one is part of a service team (mine was the blue team) which consists of one attending, two senior residents, 4-6 interns (first year residents) and 6-8 medical students. The team is responsible for service patients (patients who are admitted to the hospital and assigned to a random team) as well as certain private patients (usually, those who have been admitted by the attending but sometimes, just patients that are under the care of the intern and/or resident). The role of the student varies, depending largely on how willing one’s intern is to take one under his/her wing. A student may be asked to obtain clinical data, ferry samples to the lab, perform physical exams, research topics related to the patient’s condition or to present the patient during attending rounds. Basically, whatever any person on the team asks a student to do, the student must do it. Students are also required to give a 20-30 minute powerpoint case presentation related to one of the service patients for the team*. In addition, every 4 days, the team has short call (from 7 am to 7 pm), during which time, the team admits new patients from the ER. Of course, students are required to attend lectures during the day as well (this is also true for the second module). Residents and interns rotate from team to team every month, so I actually shadowed 2 interns (and thus, had two different experiences) during the service half of my rotation. (more…)