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ADVANCED CLERKSHIP IN MEDICINE SUBINTERN ELECTIVE

SCHOOL OF MEDICINE

 

HOW To elect the 2009 Advanced Clerkship in Medicine:  Please refer to the "Assignments" page of this website for instructions on how to elect a medicine sub-I spot. 

CONFIRMATION OF YOUR SUB-I ASSIGNMENT:  Your Sub-I Assignment will be processed by the Course Director, Dr. Bimal Ashar, and posted on this website located under “Assignments”.  This will be confirmation for your Medicine Sub-I Assignment.  Please refer to the "Assignments" page for more instructions for required paperwork.

CREDENTIALING:  Eight weeks prior to the start of your elective (or sooner), you will be required to complete credentialing paperwork.  Please refer to the "Assignments" page on this website for more instructions.

PROVIDER ORDER ENTRY (POE) TRAINING:  It is the student's responsibility to schedule Provider Order Entry (POE) Training BEFORE the start of the Sub-I elective.  If you have already completed POE training during your Basic Medicine Clerkship rotation you WILL NOT need to return for POE again.  However, if you wish to take a refresher course or if you have any specific POE questions, please contact POE immediately.  POE Training is offered on the first Tuesday and the last Tuesday of each month.  To schedule your POE Training Session, call 4-0958. 

SUB-I QUESTIONS?  If you have any questions that are not answered on this website, please contact the Course Director, Dr. Bimal Ashar, at bashar@jhmi.edu.

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ADVANCED CLERKSHIP IN MEDICINE

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Last Revision Date:  09/28/09

 

 

The Advanced Clerkship in Medicine is a one-month rotation on the inpatient medicine service which provides medical students additional training and experience in managing complex medical issues.  Students often elect the Advanced Clerkship to better prepare for an internship year in Medicine, to make a decision about internal medicine residency, or as a last opportunity to study Internal Medicine and the approach to care of the complex patient prior to residency training in another field.  In fact, the Department of Medicine encourages all students to take a Medicine Subinternship prior to graduation, as it is an outstanding preparation for any post-graduate training.

 

The Department of Medicine is committed to providing students with opportunities beyond the Basic Inpatient Experience, and so has structured the Advanced Clerkship in Medicine to approximate the role of the intern.  Typically two subinterns (advanced clerkship students) will take the place of one intern on a ward team, assuming almost all of the care responsibilities for a fewer number of patients, but engaged in similar activities of an intern:  taking overnight call, admitting patients, entering orders, performing ward procedures, etc. 

 

Pre-requisite:  Successful completion of the Basic Medicine Inpatient Clerkship is required for all of the subinternships offered by the Department of Medicine.

 

HOW To elect the Advanced Clerkship in Medicine on the osler, CAROL JOHNS, or polk SERVICES:  Please refer to the "Assignments" page of this website for instructions on how to elect a Sub-I spot.  See below for descriptions.

 

 

At Johns Hopkins Hospital, we offer thE 4 FOLLOWING Ward Experiences DESCRIBED BELOW, which are used for the Advanced Clerkship:

 

1.  The Osler Firms (Barker, Janeway, Longcope, & Thayer), each of which can accommodate 2 clerks.  The team will consist of the Assistant Chief of Service, a Firm Faculty Teaching Attending, two Senior Residents, three Interns, two Subinterns, and three Basic Medicine Clerks (except for the month of August).  We do not accept preference requests for specific Osler Services.   No subinterns are accepted in the month of July.  If you have any further questions, please contact the Course Director, Dr. Bimal Ashar, at bashar1@jhmi.edu.

 

2.  Carol Johns Service.  This is primarily a cardiac and pulmonary service staffed by Cardiology and Pulmonary attendings and fellows and Osler housestaff.   The responsibilities are similar to those of the Osler Firms.  Attending teaching rounds generally cover cardiopulmonary diseases.  This service can also accommodate 2 clerks in every month except for July when no subinterns are accepted.  If you have any further questions, please contact the Course Director, Dr. Bimal Ashar, at bashar1@jhmi.edu.

 

3.  Polk UnitThis is the inpatient AIDS service, which has been a model for the hospital for team care of complex patients.  Attending faculty on this service are from the Division of Infectious Disease; in addition, clerks will be working with the I.D. fellow,  2ND YEAR RESIDENTS, and a full multidisciplinary team on a daily basis.  Patients typically are quite complex.  If you have a particular interest in HIV disease, please state your preference for this service. If you have any further questions, please contact the Course Director, Dr. Bimal Ashar, at bashar1@jhmi.edu.

 

HOSPITALIST PROGRAM SUBINTERNSHIPS:

Hospitalist Program.  This is a Medicine Subinternship on the new Hospitalist Program.  Students will work directly with the Faculty Attendings (no Interns or Residents) on this general medicine inpatient service, which admits a mixture of both community patients with "bread and butter" diagnoses and tertiary referral transfers with more varied uncommon diagnosis (2 -3 slots each month, 4 week duration).  *Students interested in this rotation should contact: Dr. Padmini Ranasinghe at pranasi1@jhmi.edu or Lisa Williams, Medical Office Coordinator for the Hospitalist Program, at 443-287-3631 or lwilli45@jhmi.edu If you have any questions regarding the Hospitalist Program or wish to register for this course, please visit the Advanced Clerkship in Medicine Hospitalist program site at http://www.hopkinsmedicine.org/gim/training/SubI_rotation.html.

 

Bayview Subinternships:

In addition, subinternships are available at Johns Hopkins Bayview Medical Center.  If you would like more information about the availability at Bayview, please contact Dr. Roy Ziegelstein at e-mail rziegel@jhmi.edu or office (410) 550-0523.

 

ASSIGNMENT SCHEDULE: 

The Medicine Sub-I elective is scheduled on a MONTHLY BASIS however we follow the academic/quarterly calendar dates.  Dates are listed on the "Assignments" page of this website.   If you have any further questions, please contact the Course Director, Dr. Bimal Ashar, at bashar1@jhmi.edu.  FYI:  There will be NO WAITLIST offered.  Please see "DROP POLICY" described below.

 

We recommend the following:

If you have decided that you will be applying for a residency in Internal Medicine, try to take the subinternship before September 2009.  This allows an early opportunity to identify potential letter-writers and it allows your undecided classmates more openings later in Spring/Summer.

 

If you have an interest in further clinical experience with AIDS, you will be given preference for the Polk Unit rotation; please note this with your preferences. 

 

CREDENTIALING:

Eight weeks prior to the start of your elective (or sooner), you will be required to complete credentialing paperwork.  See "Assignments" page on this website for more instructions for required paperwork.

 

PROVIDER ORDER ENTRY (POE) TRAINING: 

It is the student's responsibility to schedule Provider Order Entry (POE) Training BEFORE the start of the Sub-I elective.  If you have already completed POE training during your Basic Medicine Clerkship rotation you WILL NOT need to return for POE again.  However, if you wish to take a refresher course or if you have any specific POE questions, please contact POE immediately at 4-0958.  POE Training is offered on the first Tuesday and the last Tuesday of each month.  To schedule your POE Training Session, call 4-0958. 

 

DROP Policy:

DROP POLICY:  Because of the unique role of the Sub-intern on the Ward Team, during the months of April, May, and June there is a NO DROP POLICY.  You will not have the option to drop this elective unless you find a replacement.  The Department of Medicine considers the Sub-I assignment to be a contract with the student to complete the subinternship as scheduled.  If you feel that you will not be able to fulfill your commitment, DO NOT sign up for the Sub-I elective during these months and allow the slot to be assigned to a colleague.  FYI:  It is the student’s responsibility to find a replacementThere is no waitlist offered.

 

During other months, you are required to contact the Course Director, Dr. Bimal Ashar, via email at bashar1@jhmi.edu to obtain permission for any drops.  However, you must notify Dr. Ashar at least 8 weeks in advance if you are unable to fulfill your commitment to your assigned Sub-I elective.  You will be required to pickup a "DROP ELECTIVE FORM" from the Registrar's Office and have it signed by Dr. Ashar.

 

visiting students:

Due to the complexity of Hospital Information Systems and the Credentialing Process visiting students will not be accepted into the Subinternship on the Osler, Nelson, or Polk services.  Visiting students are encouraged to contact Ms. Emma Sullens for information regarding other Department of Medicine Consult Electives, including the Advanced Clerkship (Subinternship) in Medicine on the Hospitalist service.

Visiting students who are interested in applying for Consult Electives are required to contact Ms. Emma Sullens, Credentialing Specialist, in the Office of Academic Affairs at esullen1@jhmi.edu or (410) 614-4320.

 

We will begin accepting student preferences for the

2010 Advanced Clerkship in Medicine

on October 1, 2009.