Medical Student Information
The Orthopaedic Sub-Internship offers students an opportunity to acquire and demonstrate
advanced clinical responsibilities at the level of an intern with the context of a hospitalized
orthopaedic patient population. The majority of the patients will be post-operative following
recent spine, hip or knee reconstructive surgery and are admitted to the orthopaedic
inpatient unit. The Sub-Internship will provide an educational curriculum that emphasizes the
teaching of the fundamental concepts of patient care. The sub-intern will be assigned a faculty
mentor for the entire rotation based on the patient group for which he/she is responsible
(spine, hip and knee or VA). The sub-intern may accompany his/her faculty mentor to the
operating room and will function as the primary point of contact for all care issues for these
specific patients. The sub-intern will attend all Orthopaedic Department conferences, specialty
specific conferences for their team and morning trauma intake conference. The sub-intern will
take in-house calls at lease once per week with the call day established by the orthopaedic
team to maximize the sub-interns educational experience.
The goals of the sub-intern throughout this experience are as follows:
The sub-intern will develop a comprehensive approach to the care of hospitalized,
acutely ill orthopaedic patients, beginning with admission and culminating with either
discharge or transfer to a rehabilitation service.
The student, acting in the role of intern, will:
- Demonstrate the ability to apply basic and clinical science knowledge in the patient care setting.
- Strengthen basic history and physical diagnostic skills in the care of his/her patients.
- Enhance problem-solving skills in the daily evaluation and management of his/her patients.
- Enhance learning of clinical reasoning and judgment.
- Demonstrate an understanding of the post-operative rehabilitation plans for orthopaedic patients.
- Demonstrate team work and effective interpersonal communication skills working with nurses, therapists, case managers and other clinicians for the advancement of his/her patients.
The student will learn to function in the role of house officer.
The student will:
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- Demonstrate an ability to effectively integrate him/herself as a member of the house officer team treating acutely ill patients on the orthopaedic service.
- Successfully complete in-house call responsibilities at the level of an intern, including learning to cross-cover patients on their primary service.
- Demonstrate effective oral and written communication skills as they relate to patients, patients' medical records, families, colleagues, consultants and community health providers.
- Demonstrate professionalism in all interactions with patients, families, colleagues, consultants and community health providers.
- Demonstrate an ability to synthesize patient data within a biopsychosocial context and effectively incorporate this information into an assessment and ongoing plan of treatment.
- Understand physiologic changes associated with post-operative patients and demonstrate an understanding of the effective treatment of these clinical scenarios.
August 24, 2010.
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