Students must complete a total of 32 weeks of credit during their fourth year. Specifically, all students must take a defined number of weeks within each elective grouping:
A total of 4 weeks of Internal Medicine Acting Internship
A total of 4 weeks of a Specialty Acting Internship
A total of 12 weeks of Intensive Clinical Experience
A total of 12 weeks of General Electives
An additional 20 weeks is considered unscheduled or flex time, which is time to be used for interviews, vacations, or other personal use.
Two Months of Acting Internship
Acting Internships (other schools called sub-interns or sub-Is) is a four-week experience for the student to practice being an intern under the careful supervision of an attending physician and senior level resident physician. Acting Interns (AI) are
the primary caregiver for these patients, performing the history and physical, creating a differential, then writing the orders, and managing the patient’s care. The AI also participates in potential call, potential cross coverage, and patient
care transitions just like any other first year resident. Students are required to take an acting internship in Internal Medicine as well as taking a second acting internship from a specialty/discipline of their choice: surgery, pediatrics, family
medicine, anesthesiology, obstetrics, gynecology, neurology, psychiatry, emergency medicine or internal medicine. AIs must be completed in Cincinnati.
Clerkship Coordinator:
Julie Karpe
Office: Medical Sciences Building Room 3054
Phone: 513-558-2426
Email: karpeje@ucmail.uc.edu
Students are exposed to all aspects of general anesthesia, same day surgery, and PACU, including evaluation and management throughout the immediate perioperative period.
Clerkship Coordinator:
Paula Klepper
Office: Medical Sciences Building Room 1654
Phone: 513-558-8996
Email: kleppepd@ucmail.uc.edu
Working one-on-one with faculty and senior residents, students will care for patients across the whole spectrum of acuity in the ED and simulation center and perform a variety of procedures. In this course, students learn how to approach the undifferentiated patient and build patient management skills by functioning as interns, formulating their own plans, placing orders, and documenting on all patient encounters.
Clerkship Coordinator:
Nancy Jamison
Office: Medical Sciences Building Room 4304
Phone: 513-558-1435
Email: nancy.jamison@uc.edu
The student will be an active team member of the Family Medicine Inpatient Service which cares for over 200 patients per month. Students will participate in general medicine inpatient care and consultations.
Clerkship Coordinator:
Natalie Cassady
Office: Medical Sciences Building Room 4461
Phone: 513-558-7653
Email: cassadnc@ucmail.uc.edu
The gynecology AI is a member of the Gynecology or Gynecologic Oncology team at UCMC or Bethesda North Hospital. The student participates in surgeries and follows patients postoperatively. Inpatient and emergency department consults are also provided. They participate in specialty clinics as well. Weekend rounding will be required.
Clerkship Coordinator:
Natalie Cassady
Office: Medical Sciences Building Room 4461
Phone: 513-558-7653
Email: cassadnc@ucmail.uc.edu
Working closely with faculty and senior residents, the student will care for patients across the whole spectrum of acuity and across the entire admission for patients on Labor & Delivery. In this course, the student will learn how to approach the undifferentiated obstetric patient and build patient management skills by functioning as an intern. The L&D AI will manage patients from admission to delivery and throughout the inpatient postpartum course while learning how to perform procedures such as a spontaneous vaginal delivery, cesarean section, OB laceration repair, etc.
The student will function as the primary caregiver in the inpatient setting as part of a team of residents and faculty. The student will complete admission orders, history and physicals, diagnosis, follow-up care, and discharge planning under the supervision of attending faculty and senior residents. Will attend neurology resident conferences.
Clerkship Coordinator:
Natalie Cassady
Office: Medical Sciences Building Room 4461
Phone: 513-558-7653
Email: cassadnc@ucmail.uc.edu
The obstetrics AI is a member of the OB Specialist (low-risk OB) or Maternal Fetal Medicine (high-risk OB) services at UCMC or Good Samaritan Hospital. A gradual increase in responsibilities and complexity of postpartum, antepartum, and triage patients occurs over the 4 weeks. Students assist with preparing for Planned Procedures, which may include circumcisions. Students may also assist on vaginal deliveries and C-sections. The weeks may be divided between days and nights depending on the service and enrollment. Night or weekend rounding will be required.
The student will function at the level of an intern on in inpatient pediatric team. The student will admit new patients, perform history and physical exam, input orders in EPIC, provide follow up care, cross cover patients, and discharge patients. The student will follow an intern schedule with regards to daily and overnight responsibilities as well as attend all resident conferences.
Clerkship Coordinator:
Nikki Norman
Office: Medical Sciences Building Room 1586
Phone: 513-558-2134
Email: normanno@ucmail.uc.edu
This course provides both inpatient and outpatient experience in general surgery at the acting internship level with preoperative, intra and postoperative exposure to a wide variety of patients.
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Intensive Clinical Experience (ICE)
Defined as intensive, substantial, direct patient care experience providing more than 20 hours of direct clinical/patient care experience and responsibility; cannot be primarily shadowing or in a didactic setting. Designed to teach medical students the
importance of actively participating in the care of a patient and the health care team. Students spend 50% of the rotation in face-to-face patient interactions while serving as a member of the medical team. Four of the 12 weeks of ICE must be taken
in Cincinnati.
General Electives
Provides medical students with an opportunity to broaden and balance their educational experience in preparation for intern year.
Amy Guiot, MD, MEd Professor, Cincinnati Children’s Hospital Medical Center Phase 3 Curriculum Director