Dr. Rebecca Swenson, MD, Co-Director, Inpatient Medicine Clerkship
Dr. Dylan Ofri MD, Co-Director, Inpatient Medicine Clerkship
Dr. Yile Ding, CMPC Site Director
Dr. Thomas Ormiston, Santa Clara Valley, CA Medical Center Site Director
Education:
Dr. Rebecca Swenson: Dartmouth Medical School, Yale University Hospitals - IM Residency
Dr. Dylan Ofri MD: SUNY Downstate Health Sciences University, Dartmouth-Hitchcock - IM Residency
Dr. Ding: UCSF School of Medicine 2004-2008
California Pacific Medical Center IM Residency 2008-2011
California Pacific Medical Center IM Chief Residency 2011-2012
Dr. Rebecca Swenson
Medical School: Dartmouth Medical School
Residency: Yale-New Haven Hospital-New Haven, CT
Dr. Ormiston:
Medical School: University of California, San Francisco
Residency: Santa Clara Valley Medical Center
Inpatient Medicine is a required 8 week clerkship completed by nearly all Phase 2 students.
Clinical Overview:
This required core clerkship in inpatient internal medicine is typically taken during Phase 2 at Geisel School of Medicine. Students either spend seven weeks in the clinical setting at DHMC, CPMC, SCVMC or split time between Dartmouth-Hitchcock Medical Center and the White River Junction VA Hospital. One additional week is split between orientation at the beginning and then wrap up and NBME at the end.
Students function as an integral member of a ward team caring for patients hospitalized on a general medical service. Opportunity to rotate on inpatient cardiology or hematology services may also be offered. A minimum of 16 new patient workups is required. Learning objectives include improving skills in history taking, physical examination, and ordering of diagnostic tests, as well as written and verbal case presentations. Students receive specific instruction in interpreting electrocardiograms and chest radiographs. Clinical reasoning skills used in the evaluation and management of internal medicine patients is stressed, as are the interpersonal skills required to deal with patients and their families.
Course and Program Objectives:
Essential Skills and Conditions:
Expectations:
Gain an understanding of the practice of inpatient medicine.
Enhance skills in history taking, physical examination, and patient communication.
Become proficient in oral and written case presentation.
Develop the skills to effectively use the medical literature to answer clinical questions.
Adhere to standards of professionalism.
Attitude & Behavior:
You are expected to act and dress professionally- white coats with name tags. It is recommended that men wear shirts and ties. Professional and courteous interactions with faculty, staff, peers, patients and their families are expected at all times. All patient information is confidential. Please contact the clerkship director if you have a problem or concern as soon as possible. Orientation and teaching sessions are mandatory. Students must attend and be prompt to each.
Evaluation:
***The official, most up to date details of this clerkship's grading and evaluation practices are located on the course CANVAS page per Geisel Policy.***
The following provides a general description only:
A clerkship grading committee will review the multiple methods of assessment to determine your final grade. The committee will take into consideration your performance on the Clinical Performance Evaluation including preceptor comments, the clerkship’s core curriculum (written assignments; engagement; and teaching, self-directed learning, and reflection), and the NBME exam. It is necessary to pass each component noted above to pass the course, regardless of the cumulative numeric grade earned.
Grades are completed 4 - 6 weeks after rotation end. Please contact your clerkship or site director immediately if you have any concerns during the rotation. Do not leave concerns until the end of the clerkship.
Site Selection:
Site selection (CPMC and SCVMC versus local sites) is determined in the Lottery. Students who clerk at CPMC or SCVMC will spend all seven weeks there. For those staying locally, site preferences will be solicited several months prior to the start of the block. Students will have the option to rank VA General Medicine, DHMC General Medicine, and DHMC Cardiology. Occasionally DHMC Hematology will be offered as a site preference. Students will rotate at two of the local sites. We attempt to give students their top choices, but this is not always possible.