Medical Degree Program Admissions Application Criteria & Process Admission Requirements How to Apply FAQs Transfer Policy & Procedures Contact Us Curriculum Electives Information for Incoming Students Student Support 625Q - Senior Sub-Intern, “Acting Internship” This course is available to fourth-year UCI students only during May – September rotations. Home Education Medical Education Medical Degree Program MD Programs Curriculum Family Medicine Elective > 625Q - Senior Sub-Intern, “Acting Internship” Course Director, Coordinator and General Administrative Information Faculty & Staff Office Location Phone Email Director/Coordinator: Anjani Kolahi, MD 101 The City Dr. S., Bldg. 26, Ste. 1001Orange, CA 92868 714-456-5171 akolahi@hs.uci.edu Coordinator: Bre Anna McNeill mcneilb1@hs.uci.edu DESCRIPTION Students spend four weeks as sub-interns during which time they carry the full ward responsibility of an intern on one-half the number of patients usually carried by an intern. The sub-internship is designed to improve clinical competence and to prepare the students for the challenges and demands of the internship. Students may choose between sub-internships in medicine, surgery, pediatrics or family medicine. PREREQUISITES This course is intended for fourth-year students enrolled in the undergraduate medical education program at UCI School of Medicine. It is available for open enrollment in VSAS for October-April rotations during fourth year of medical school. RESTRICTIONS This course is intended for fourth-year students enrolled in the undergraduate medical education program at UCI School of Medicine. It is available for open enrollment in VSAS for October-April rotations during the fourth year of medical school. COURSE DIRECTOR Dr. Kolahi has worked in medical education since 2015. She received her medical degree from University at Buffalo in New York and completed her family medicine residency at the University of San Francisco – Fresno. She is part of the UCI Medicine Hospitalist Division as well as UCI Family Medicine Department with an area of concentration in reproductive health. Bre Anna McNeill is the course coordinator for the 625Q course. INFORMATION FOR THE FIRST DAY Who to Report to on First Day: Refer to introductory email for names and contact information of Chief Residents. Contact Bre Anna McNeill if you need more information mcneilb1@hs.uci.edu Location to Report on First Day: Douglas Hospital at UCIMC, Room 4805. Contact Bre Anna McNeill if you need more information mcneilb1@hs.uci.edu Time to Report on First Day: 9:00 a.m. unless otherwise specified by Chief Resident. Please contact Chief resident prior to the first day of service. SCHEDULE: Students will typically spend three weeks on days and one week on nights. The week of nights is typically from Sunday-Friday but depends on the number of students on the rotation. The student works on four weekend days during the rotation. Students report to the FM workroom at 6:30am for sign-out. Morning rounds are typically at 9am. A time will be arranged for midcourse feedback with the course director. SITE: UCI Medical Center Douglas Hospital DURATION: four weeks Scheduling Coordinator: UCI students please email comsched@hs.uci.edu to make a scheduling appointment. Periods Available: The time of the course must be pre-approved by the elective director at least three months prior to the start of the course. No exceptions. NUMBER OF STUDENTS ALLOWED: two WHAT STUDENTS SHOULD DO TO PREPARE FOR THE COURSE Read about inpatient adult medicine, newborn care and maternity care topics. COMMUNICATION WITH FACULTY Questions about logistics should be directed to the Course Coordinator. Direct questions, comments, or concerns about the course can be directed to the Course Director. Contact information and office location are at the beginning of this document. The Course Director is also available to meet in person. Please email mcneilb1@hs.uci.edu to arrange an appointment. To ensure that your email will not be lost in the large volume of email received, please use the following convention for the subject line: SUBJECT: COURSE NAME, your last name, your issue (e.g. 625Q, Smith, Request for appointment) EDUCATIONAL ACTIVITIES Participating students will work with the family medicine hospitalist and resident physicians to manage patients admitted to the family medicine service. The subintern will function in a role similar to that of the family medicine intern – including taking night, weekend and holiday, except that the sub-intern will follow no more than four patients at a time. The family medicine service admits patients every day, focusing primarily on adult inpatient care but also including pediatric inpatient care and family-centered maternity care (labor and delivery, postpartum care and newborn care). Sub-interns will pre-round on their patients before morning rounds with the family medicine team, attend noon conferences of the Department of Family Medicine, write notes and take responsibility for their patients’ daily care, and attend daily inpatient teaching rounds that include journal clubs and other didactic sessions. Each sub-intern will give a presentation to the ward team about a topic important to inpatient family medicine. Expectations The sub-I, or acting intern, will be expected to write daily notes, write and append orders, and present their patients independently on rounds. They will staff their patients with the senior resident or attending, or the team interns during the second half of the year. The acting intern will be expected to carry a patient load similar to an intern and will be the “first contact” for nurses and staff regarding their patients. Course Objectives and Program Objective Mapping The following are the learning objectives for the 625Q course. Students are expected to demonstrate proficiency in these areas in order to satisfactorily complete the course. In addition, the extent of a student's mastery of these objectives will help guide the course evaluation and grade. Course Objective Mapped UCI School of Medicine Program Objective Sub Competency Core Competency Skillfully conduct medical interviews in a focused and complete manner. Skillfully perform comprehensive physical examination of patients. B-1. The ability to competently conduct a medical interview and counseling to take into account patient health beliefs, patient agenda and the need for comprehensive medical and psychosocial assessment B-2. The ability to competently perform a complete and organ system-specific examination including a mental health status examination Medical Interview Physical Exam Skillful Use evidence-based medicine to provide medical care to the highest standards outlined in UCI Medical Center’s Mission Statement. B-4. The ability to search medical literature, including electronic databases, and to locate and interpret up-to-date evidence to optimize patient care Evidence-Based Medicine Skillful Develop an understanding of the needs of the community and individual patients. C-3. Sensitivity and awareness of diverse cultures, health beliefs and social factors impacting patient health and illness D-3. A commitment to serve our community Cultural and Social Awareness Community Altruistic Dutiful Acquire an understanding of some of the most common problems seen by family physicians. A-3. Knowledge of basic clinical skills required to meet the skills objectives, including interviewing, physical diagnosis, communication and clinical reasoning processes A-2. Knowledge of the pathogenesis of diseases, interventions for effective treatment, and mechanisms of health maintenance to prevent disease Disease Pathogenesis and Treatment Basic Clinical Skills Knowledgeable Develop lifelong learning techniques to be able to navigate situations that may present with clinical uncertainty. D-1. A commitment to lifelong learning and independently seeking new knowledge and skills in their own recognized areas of learning deficit B-6. The ability to function effectively within the context of complexity and uncertainty in medical care Lifelong Learning Patient management Dutiful Skillful Work within an interprofessional team effectively and help support a positive work environment. C-1. Honesty and integrity reflecting the standards of the profession, in interacting with colleagues, patients, families and professional organizations D-2. A commitment to patient care and to the well-being of patients and colleagues Professionalism Patient Care Altruistic Dutiful Course Resources TEXTS AND READINGS: SUGGESTED Essentials of Family Medicine by Sloane et al. (Lippincott, Williams & Wilkins, 2002); University of Iowa Family Practice Handbook Harrison's principles of internal medicine. New York: McGraw-Hill Education, [2018] Online edition, available via UCI Medical Library Major Exams, Assignments and Grading MANDATORY SESSIONS Session Title Location Family Medicine Didactics Thursdays from 1-5pm FHC- Santa Ana MAJOR ASSIGNMENTS AND EXAMS Formal presentation of assigned inpatient topic – Discuss details with course director ATTENDANCE/ABSENCE POLICY The student is an integral part of the team and is expected to participate as such. In the event an absence cannot be avoided, the student must notify the course director, the attending faculty, and senior resident with as much advanced notice as possible. In some instances, the absence may need to be made up and will be determined on a case-by-case basis with guidance from the medical school. GRADING Medical Students are graded using the following scale: Honors (H), Pass (P), Fail (F), and Incomplete (I). For further information, please review the Grading Policy. You have 30 days from the date of the grade to appeal any aspect of this grade. Please contact your Clerkship/course Director should you have any questions Requirements for “Pass” To receive a grade of Pass, students must demonstrate successful performance in all the following areas: Knowledge Patient Care Practice-Based Learning Interpersonal & Communication Skills Professionalism Systems-Based Practice Requirements for “Honors” To receive a grade of Honors, students must demonstrate exceptional performance in all the following areas: Knowledge Patient Care Practice-Based Learning Interpersonal & Communication Skills Professionalism Systems-Based Practice Grounds for “Incomplete” You will not be issued a grade until all elements of the course have been completed. REMEDIATION Remediation, if needed, will be designed by the course director to suit the issue at hand. Grounds for “Fail”: You will receive a grade of "Fail" if the requirements for passing the course have not been met. Please refer to the Grading Policy for the impact of the "Fail" grade to the transcript.