Medicine Year 4 Sub-Internship

Medical students in their fourth year at the University of Wisconsin School of Medicine and Public Health in Madison will complete a sub-internship during the internal medicine clerkship.

Criteria for the Internal Medicine Fourth-Year Student Sub-Internship

I. Goals of this rotation are to:

1. Provide greater responsibilities for the students
2. Encourage and develop independent thinking
3. Provide better preparation for the student's intern (PG-1) year

II. On Call Nights at UW Hospital and Clincs (Clinical Science Center, or CSC):

All fourth-year students will be required to:

1. Alternate new admissions with the intern on call
2. Cover all after hours calls from the nurses regarding patients on his/her own service. The on-call intern will cross-cover other services
3. A limit of 15-20 minutes will be allowed for the student to formulate a diagnosis and plan. The student will then call the resident on call for approval of plans and signing of orders.
4. The intern should not be involved in the fourth-year student's new admissions or calls for coverage unless it is an emergency. The resident on call should be the supervisor

III. On-Call Nights at the Veterans Administration Hospital:

1. Alternate daytime admissions with the intern as above. When on call: The first night on call, the fourth-year student does all the admits and the intern provides cross cover. Reverse this every other night on call.

IV. Daytime admissions:

1. Work up every other new admission and call the resident for approval of orders and plans