Internal Medicine Advanced Clinical Rotation (ACR)

4 units

This rotation is designed to imitate intern year in caring for adult hospitalized patients. It is a four-week rotation, which includes night shifts. You will be expected to put in discharge and admission orders, write daily notes, communicate with ancillary staff and consultants, and communicate updates to patients and their families. During the day, you will be expected to take care of 4-6 patients. At night, you will be expected to provide cross-cover for existing patients and complete new admissions. This rotation will take place at the John Cochran VA Hospital and at Barnes-Jewish Hospital on the medicine firm, cardiology firm or hospitalist services. Hospitalist and medicine firm see patients admitted for a medical reason. Cardiology firm takes care of patients admitted primarily for a cardiac reason, but these patients often have many medical comorbidities reflective of a general medicine population. The team structure of cardiology and medicine firm services include one attending, one resident and two interns. The team structure of hospitalist will include working directly with a hospitalist attending. The John Cochran VA Hospital sees common medical illnesses but is still a referral center. The VA teams consist of one attending, one resident, and one intern.