The University of Tennessee Graduate School of Medicine, Knoxville

Medical Student Education

Third Year Clerkships - Internal Medicine

Third Year Clerkships - Core Clerkship in Medicine - MED 30000
The Department of Medicine sponsors up to six third year medical students from UT Memphis for their mandatory eight week block Internal Medicine Core Clerkship. Core Clerks are welcomed as an integral part of a team consisting of two interns (PGY-1), one upper-level medicine resident (PGY 2 or 3) and one medicine attending. The students are assigned new patients from the Emergency Department following them throughout the hospitalization to discharge. Students also see patients who are transferred from the intensive care units to a medical unit. The student is expected to see his/her assigned patients on a daily basis. Patient assessments lead to the development of a differential diagnosis. Students learn proper evaluation and therapeutic plans while actively caring for patients. Close supervision allows one on one learning with mentoring physicians while adequate autonomy allows the student to develop skills needed that can only be learned via independent study/experience.

Students are scheduled for learning time in the Patient Simulation Center beginning with "Sterile Technique". "Basic Skills Lab" includes learning proper technique for canulation of peripheral veins for IVs/INT or phlebotomy; Lumbar Puncture; Ultrasound guided-CVL; Arthrocentesis; Arterial line and Para/Thoracentesis. Students are encouraged to perfect basic skills of phlebotomy, arterial punctures and IV needle placement during this time. The third lab is "Ultrasound Guided Central Line Placement." The student is taught hands on operation of an ultrasound machine for noting proper landmarks prior to placing internal jugular vein catheter. The student is able to practice not only Internal Jugular but also subclavian vein insertion if time permits. The fourth regularly scheduled lab is for lumbar puncture.

The Housestaff Medicine call schedule is presently twelve hours shifts every other day for each team. Students are assigned new patients corresponding to their assigned interns call schedule. Once a student has completed their H&P, the student is expected to follow the intern and/or resident throughout the remainder of the call period enhancing their learning through this experience. Students are required to remain in house during their assigned shift. Students follow work hours rules as established by UTHSC and UTGSM. One well-crafted history and physical should be given to the attending each week. Emphasis is placed on the history, physical and assessment including a detailed differential diagnosis.

The Core Clerkship is geared to inpatient medicine for 6 weeks and outpatient clinic exposure for 2 weeks of the rotation. The books "Lange Series for Medicine", Step up to Medicine, Up to Date are recommended for the first 2-4 weeks of the rotation, along with UWorld Question Bank for the remainder study period. Harrison's remains the printed textbook of choice for detailed reference. Preston Medical Library available 24/7 for access to Pubmed, Procedures Consult, etc.

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