Third Year Medicine Clerkship Core Competencies

Students should have a good understanding of the clinical features of these conditions. They should have a basic understanding of their initial evaluation and treatment. These topics and skills are assessed in the YEPSA- the clinical skills examination given at the end of year 3, which all students must pass in order to graduate.

• Sepsis
• Pneumonia
• Acute myocardial infarction
• Congestive heart failure
• Acute abdominal pain including diarrhea and constipation
• Diabetes
• Asthma
• Common dermatologic disorders

Students should also be able to perform physical examination skills relevant to Internal Medicine

Student ward responsibilities

• Complete 8 full patient histories and physicals
• Follow 3-5 patients at a time
• Pre-round
• Present on work rounds
• Present on attending rounds
• Write daily progress notes
• Write orders with assistance of housestaff
• Read about patients' illnesses
• Be reliable
• Take appropriate initiative
• Act professionally

Resident responsibilities

• Be a role model of professionalism
• Let students work up new patients first if possible
• Demonstrate physical findings and encourage questions on work rounds
• Help students polish their presentations
• Help students write orders on their patients
• Give a short talk weekly
• Include students in interesting events and procedures
• Give feedback on an on-going basis
• Evaluate the student's performance with the attending
• Discuss any problems with the student and attending