Atlantic Health Overlook Hospital Sub internship Guide Book1

Welcome!
Medical school is a time of great transformation. In addition to learning the science of medicine, students must develop a core set of skills common to all physicians. One key element in this process is the sub internship (also known as the acting internship). The sub internship was developed out of necessity because of a shortage of interns during World War II. The sub internship has evolved into an integral component of medical school training While internship forms the backbone of graduate medical education, it remains a time of physical and emotional distress for many. Changes in health care delivery in the United States have resulted in shortened lengths of stay, increased severity of illness, and increased administrative burdens for house staff. These pressures have therefore forced interns to become increasingly dependent on their undergraduate education to help them successfully navigate the stresses of the first postgraduate year. 1 Here at Overlook, we have structured your experience to mimic that of a first year resident/intern as much as possible. We hope to equip you with the tools that you will need to face the year ahead. During your sub internship, you will be responsible for direct patient care. You will continue to hone your clinical skills which will only increase as your career continues. You will also be immersed in the ideas of professionalism, quality care, and systems based practices. Various clinical activities and conferences will afford you a multitude of learning opportunities. We expect that you will develop the skills to become a proficient self-learner during this process. It is this motivation and drive to accomplish that will allow you to excel in any field of medicine. The faculty and residents at Overlook are working hard in order to provide you with the best education possible. We hope you enjoy the learning provided here as much as we enjoy providing it. Please let us know if there is anything we can assist you with during your time here. I look forward to meeting with and working with each one of you. My door is always open if you need anything. Sincerely,

Sharen Anghel, MD Medical Student Clerkship Director Atlantic Health Overlook Hospital

1. Excerpted from CDIM Sub internship Curriculum Reddy S, Fagan MJ, Mechaber AJ, Green EH, Sidlow R The University of Chicago Pritzker School of Medicine (SR) Brown University (MJF) University of Miami (AJM) Boston University (EHG) Albert Einstein College of Medicine (RS)

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Table of Contents:
Contact information3 Clinical competencies.4-8 4th year sub internship - Course description9 - Course set-up910 o Sub-I supervision..9 o Floor team.9 o ICU team...910 - Responsibilities.10 - Basic procedures...10-11 - Advanced procedures 11 Conferences.12 Evaluations..12 Administrative - Holidays/vacations/absences .13 - Beepers..13 - ID/Parking.13 - Scrubs13 Appendix A Floor & ICU Student Schedules Appendix B Floor & ICU Rotation Block Schedules online at amion.com Appendix C Absence Sheet Appendix D House staff Pager List Appendix E Evaluation Sheets Appendix F End of the Subinternship Survey

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Atlantic Health Overlook Hospital 99 Beauvoir Avenue Summit, NJ 07902-0220 Dept of Medicine (DOM) Medical Education Department Contact Information: Clerkship Director: Sharen Anghel, M.D. Office: 908.522.2738 Pager: 877.338.7427 Email: sharen.anghel@atlantichealth.org

Med Student Coordinator Patricia Recarte Ph: 908-522-5725 Email: Patricia.Recarte@atlantichealth.org

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CLINICAL COMPETENCIES (excerpted from CDIM Sub internship Curriculum)

1) Communication A. Rationale Interns play a key role in communicating aspects of patient care to patients and healthcare providers, often in diverse clinical situations. B. Specific learning objectives 1) Knowledge. Sub interns should demonstrate knowledge of: 1 a) Local and national ethical and legal guidelines governing patient confidentiality with specific attention to: 2 i) Written documentation 3 ii) Verbal communication with the patients family members 4 b) Verbal and non-verbal clues of patient suicidality 5 c) The importance of cultural issues governing health care decision making by patients 6 d) Appropriate resources available in the inpatient and outpatient setting for the management of grief 2) Skills. Sub interns should demonstrate the ability to: 7 a) Communicate effectively with patients and patients family members 8 i) Utilize lay terms appropriate to the patients level of education and explain scientific jargon 9 ii) Recognize and manage denial and grief 10 iii) Communicate abnormal results and bad news to patients in a sensitive manner 11 iv) Discuss end of life issues with patients and family members with attention to the patients wishes and needs 12 v) Provide concise daily updates for patients and families regarding hospital course and rationale for ongoing or new treatment plans

Atlantic Health Overlook Hospital Sub internship Guide Book5 13 b) Clearly summarize the patients reason for admission and rationale for clinical plan. 14 c) Assess suicidality in a depressed or psychotic patient 15 d) Be able to initiate a conversation with a patient about advance directives. 16 e) Demonstrate the ability to clearly and concisely present oral and written summaries of patients to members of the health care team with attention to the inclusion of relevant information and synthesis of clinical information 3) Attitudes and professional behavior. Sub interns should demonstrate: 17 a) The ability to effectively communicate with physician and non-physician members of the health care team and consultants 1 i) Demonstrate an understanding of the importance of communicating with the patients primary care physician (PCP) if the inpatient attending is different from the PCP 2 b) Understand cultural sensitivities and patient wishes with regards to health care and incorporate this knowledge into discussions with the patient 3 2) Coordination of care A. Rationale Interns play a central role in coordinating a patients care, both during hospitalization and upon transition from the inpatient to outpatient setting. This involves communication between the patient and his/her family, colleagues, consultants, members of the health care team, and other hospital personnel. Appropriate management and coordination is essential to ensure optimal patient care. B. Specific learning objectives 1) Knowledge. Sub interns demonstrate knowledge of: 1 a) How to contact members of the health care team, consultants, and other hospital personnel 2 b) How to properly transfer care throughout a patients hospitalization including end of day and end of service coverage 2) Skills. Sub interns should be able to: 3 a) Appropriately utilize consultants 4 i) Identify a consultants limits of participation in the care of a patient 5 ii) Request a consultation by identifying a specific question(s) to be addressed 6 iii) Discuss a consultants recommendations with members of the health care team 7 b) Effectively cooperate with physician and non-physician members of the health care team including: 8 i) Nursing staff 9 ii) Physician assistants and nurse practitioners 10 iii) Social workers

Atlantic Health Overlook Hospital Sub internship Guide Book6 11 iv) Therapists (occupational, physical) 12 v) Pharmacists 13 vi) Nutrition support staff 14 vii) Discharge planners 15 c) Identify house staff on-call and cross-coverage schedules among house staff 16 d) Communicate transfer of patients care responsibilities to other house staff (e.g. sign out) 17 i) On non-call days 1 ii) Upon leaving service 2 iii) Upon transfer of the patient between services 3 e) Demonstrate proficiency in coordinating a comprehensive and longitudinal patient care plan 4 f) Communicate plan with outpatient health care provider, arranging for follow-up when appropriate 5 g) Coordinate care plan utilizing community resources when necessary 3) Attitudes and professional behavior. Sub interns should demonstrate: 6 a) Respect for all members of the health care team 7 b) A willingness to assist other members of the health care team 8 3) Information management A. Rationale Interns face an extraordinary challenge in managing the huge amount of clinical information relevant to a patients hospital admission. Accurate and timely acquisition, documentation, and transfer of clinical information are a prerequisite for safe and efficient hospital practice. B. Specific learning objectives 1) Knowledge. Sub interns should demonstrate knowledge of: 1 a) How to access the clinical information system in use at their hospital 2 b) How panic values are communicated from the hospital laboratory to the responsible intern 3 c) The necessity for a systematic method to track clinical/laboratory/radiological data 4 d) Patient confidentiality regulations governing medical records and clinical information 2) Skills. Sub interns should demonstrate the ability to: 5 a) Prioritize tasks for daily patient care in order to efficiently utilize time 6 b) Document the following in an organized and efficient manner: 7 i) Admission notes 8 ii) Daily progress notes 9 iii) Transfer notes

Atlantic Health Overlook Hospital Sub internship Guide Book7 10 iv) On-call emergencies 11 c) Systematically organize daily tasks (a.k.a. the scut list) 12 d) Use paper or electronic references to access evidence based medicine to solve clinical problems 3) Attitudes and professional behavior. Sub interns should demonstrate: 1 a) A respect for patients rights to confidentiality 2 4) Procedures A. Rationale: For fourth year medical students, the sub internship presents an opportunity to gain experience with procedures that are commonly performed by interns and residents. B. Specific Learning Objectives: 1) Knowledge. Sub interns should be able to describe: 1 a) The indications, contraindications, risks and benefits of each of the following procedures: 2 i) Venipuncture 3 ii) Intravenous catheter insertion 4 iii) Arterial blood sampling 5 iv) Nasogastric tube insertion 6 v) Lumbar puncture 7 vi) Urethral catheter insertion 8 b) How the information obtained from these procedures will enhance the patients care 9 c) How to assess patients competence to provide informed consent for a procedure 10 d) Potential procedure related risks to the operator and the need for universal precautions 2) Skills. Sub interns should be able to: 11 a) Recognize clinical situations where one or more procedures are indicated 12 b) Effectively explain the rationale, risks and benefits for the procedure in language that is understandable by the patient 13 c) Obtain and document informed consent, if necessary 14 d) Recognize lack of skill or proficiency in performing one of the above procedures 15 e) Personally perform, with supervision, the above procedures 16 f) Write a procedure note 17 g) Ensure that samples obtained are properly prepared for laboratory processing 18 h) Teach procedure skills to third year medical students when appropriate

Atlantic Health Overlook Hospital Sub internship Guide Book8 3) Attitudes and professional behavior. Sub interns should demonstrate: 19 a) Respect for patient autonomy and the principles of informed consent 20 b) Concern for maximizing patient comfort 21 c) Commitment to learning how to perform procedures in an efficient and costeffective manner

The 4th year Sub-internship:

Course description
This rotation is intended to provide students with experience as interns in order to better prepare them for the coming year. Each sub-I/acting intern will function in the role of an intern with a resident and attending physician above them. Goals are to solidify and expand on the knowledge learned in the third year clerkship, and to further develop the skills that will be required during their internship and residency. All sub-Is will be placed either on a floor team or ICU team based on requests submitted prior to the start of the rotation by their medical school.

Course set-up
Sub-I Supervision Sub-Is are assigned to a team of 1 attending, 1 resident and 1-2 interns. All sub-Is are supervised by PGY2 or 3s. All medical students and house staff perform patient care under the supervision of the patients primary attending physician. Any and all procedures done by a sub-I (other than IVs or blood draws once trained) must be directly supervised by a credentialed intern/resident/attending.

Floor Team Each team is comprised of 1 attending, 1 resident, and 2 interns. All sub-Is will act either as a 2nd or 3rd intern reporting directly to their resident.

Atlantic Health Overlook Hospital Sub internship Guide Book9 Patient turnover is at 7am daily in one of the conference rooms on the 5th floor. This is where your team will arrive to learn of events on any of your old patients overnight, as well as to pick up new patients. Admitting call is from 7am to 9pm every fourth day. Daily rounds occur generally 10-11:30am with the attending on service Monday-Friday.

ICU/CCU Team Each team is comprised of 1 resident and 1 intern. All sub-Is will act as a 2nd intern reporting directly to their resident. Each team will round with the ICU attending from 7:30am to 8:45am daily except weekends. CCU rounds will be from 8:45am to 9:30am daily except weekends. Keep in mind the primary attending of record may not be the teaching ICU/CCU attending of the month. Patient turnover is at 7am daily in ICU staff lounge. Admitting call is from 7am to 9pm every other day. One week is devoted to nights admitting from 8:30pm to 9am. The non call day runs generally from 7am to 4pm. Medical Students are to stay with the day teams (i.e. you will pick up a new team each time your old team switches to nights). Under special circumstances students may be allowed to switch to nights with their team with prior approval from the clerkship director.

Responsibilities
Patient Care - Medical students are assigned to teaching patients by their residents. - The floor team sub-I cap for total number of patients is 4. The ICU team sub-I cap is 2. - On call the student cap for new admissions will be a total of 4 new patients maximum on the floors and 2 new patients maximum in the ICU. - Medical students are responsible for performing a history & physical on each new patient. Your H&P can be placed in the chart, but should be cosigned by your resident and attached to their admission note. - Medical students should write daily SOAP notes on all their patients to be cosigned and amended by their resident & their attending.

Atlantic Health Overlook Hospital Sub internship Guide Book10 Students may write orders on their patients if directly with their resident and all orders must be immediately signed by their resident. Students are not responsible for dictations summaries for any patient. Students are expected to be present during the day anytime their team is present this includes weekends.

Basic Procedures
All procedures should be directly supervised by a medical resident or attending. SPECIFIC LEARNING OBJECTIVES: A. KNOWLEDGE: Students should be able to define, describe, and discuss: 1. Key indications, contraindications, risks to patients and health care providers, benefits, and techniques for each of the following basic procedures: Venipuncture Blood culture ABG ECG Nasogastric tube placement Urethral catheterization Peripheral intravenous catheter insertion Throat culture Digital rectal examination Stool occult blood testing Subcutaneous injection Intramuscular injection Wound culture Dressing change PPD placement 2. Alternatives to a given procedure. 3. The patients experience of the procedure. B. SKILLS: Students should be able to demonstrate specific skills, including: 1. Obtaining informed consent, when necessary, for basic procedures, including the explanation of the purpose, possible complications, alternative approaches, and conditions necessary to make the procedure as comfortable, safe, and interpretable as possible. 2. Explaining what the patients experience is likely to be in understandable terms.

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3. Demonstrating step-by-step performance of basic procedures with technical proficiency. 4. Demonstrating proper sterile technique and body substance isolation procedures. 5. Appropriately documenting, when required, how the procedure was done, any complications, and results.

Advanced Procedures
The following procedures may be performed by medical students (at the discretion of the medical attending) with a credentialed resident or attending present:
Arterial line Lumbar puncture Abdominal paracentesis Arthrocentesis

All procedures must be documented in the patients chart with a procedure note which should include the supervising physician. Students are not permitted to perform central lines.

Conferences
All sub-Is are encouraged to attend Chairman rounds, Auscultation sessions, H&P and didactic conferences when not conflicted with direct patient care responsibilities however these are not required. Students on floor teams are required to attend daily resident lectures and noon report. ICU students are encouraged to come to these conferences when possible. Included in your packets should be a schedule for your rotation including conference times (see Appendix A).

Evaluations
Evaluations are a critical part in self & program improvement. All students will receive a composite formal evaluation at the end of their rotation. This will include evaluations & feedback from those youve worked with including attendings, residents, and interns.

Atlantic Health Overlook Hospital Sub internship Guide Book12 All students will have an end of the clerkship feedback session with the course director. Please schedule this feedback session with the DOM medical clerkship coordinator in the Medical Education office during the first week of your rotation. Students will be responsible for completing evaluations of all attendings, residents, and interns for which theyve worked with for 2 weeks or greater. These evaluations are extremely important in improving our program at Overlook. All evaluations will be kept confidential with responses being forwarded to attendings & residents biyearly without student names. See Appendix E for copies of these evaluations. Finally, each student is responsible for handing in a rotation survey at the end of the sub internship (See Appendix F). This is to be handed in no later than the Monday prior to finishing the rotation to the DOM medical student coordinator in the Medical Education office.

Development as a physician:
Reporter/Data Collector ------> Interpreter ------> Manager -------> Educator -----> Expert 3rd year student----------------------------I Sub-I---------------------------I Intern--------------I Senior resident-------I Faculty---------------------I

Administrative
Holidays/Vacations/Absences Students are allotted holidays and vacations specifically scheduled by their medical school. There are no unexcused absences. Sub-Is are a critical part of patient care and are therefore expected to be present at all times the rest of the team is present, including weekends. Planned absences should be scheduled during other months when not on your sub-I (this includes

Atlantic Health Overlook Hospital Sub internship Guide Book13 residency interviews). In the event of sudden illness or other emergency, the clerkship director and individual resident should be notified. For each absence an absence form (See Appendix C) must be filled out. Depending on the length of the rotation, excessive absence for legitimate and authorized reasons can result in withdrawal from the rotation or receiving an incomplete for a grade. Maximum allotted sick time is defined by your respective medical schools policy. Beepers All students will be assigned pagers for the duration of their clerkship/rotation. All pagers must be turned in at the completion of the rotation. ID/Parking All students will receive an Overlook Hospital ID at the start of the clerkship/rotation. All IDs must be returned at the completion of the rotation. All IDs will provide access to general parking. Scrubs All students will be provided scrubs if requested. Scrubs should be worn only when on-call or while performing procedures. All scrubs must be returned at the end of the clerkship.

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Appendix A: Floor Schedule

Additional Information:

7:00 Turnover Rounds 12:00 Noon Report

1:15 Cardiac auscultation

7:00 Turnover Rounds 9-11:30 Resident didactics 1:15 Chairman Rounds

7:00 Turnover Rounds 8:00 Grand Rounds 12:30 Noon Report 1:30 Radiology rounds 3:00 H&P Conference with Dr. LaCapra 7:00 Turnover Rounds 8:00 Grand Rounds 12:30 Noon Report 1:30 Radiology rounds 3:00 Student didactics with Dr. 7:00 Turnover Rounds 8:00 Grand Rounds 12:30 Noon Report 1:30 Radiology rounds 3:00 Student didactics with Dr. Anghel 7:00 Turnover Rounds 8:00 Grand Rounds 12:30 Noon Report 1:30 Radiology rounds 3:00 Student didactics with Dr. Anghel

7:00 Turnover Rounds 12:00 Noon Report

7:00 Turnover Rounds 8:00 Lectures 12:00 Noon Report

7:00 Turnover Rounds 12:00 Noon Report

1:15 Cardiac auscultation

7:00 Turnover Rounds 9-11:30 Resident didactics 1:15 Chairman Rounds

7:00 Turnover Rounds 12:00 Noon Report

7:00 Turnover Rounds 8:00 Lectures 12:00 Noon Report

7:00 Turnover Rounds 12:00 Noon Report

1:15 Cardiac auscultation

7:00 Turnover Rounds 9-11:30 Resident didactics 1:15 Chairman Rounds

7:00 Turnover Rounds 12:00 Noon Report

7:00 Turnover Rounds 8:00 Lectures 12:00 Noon Report

7:00 Turnover Rounds 12:00 Noon Report

1:15 Cardiac auscultation

7:00 Turnover Rounds 9-11:30 Resident didactics 1:15 Chairman Rounds

7:00 Turnover Rounds 12:00 Noon Report

a. b.

Turnover Rounds, lectures, and noon report will be held in Conference Room #1-4 on the 5th Floor. Please discuss resident didactic schedule with your team. H&P conference will be the 1st & 3rd Thursdays of every month in the Med Ed conference room on the 7th floor. Didactic sessions are 2nd and 4th Thursdays.

c. All student conferences are held in the Med Ed conference room on the 7th floor

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Appendix A: ICU/CCU Schedule

a. Turnover rounds held in ICU staff conference room on the 4th floor between

Appendix A: ICU/CCU Schedule

SUNDAY MONDAY 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds TUESDAY 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Cardiac auscultation WEDNESDAY 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Chairman Rounds THURSDAY 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 3:00 H&P Conference with Dr. LaCapra 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 3:00 Student didactics with Dr. Anghel 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 3:00 H&P Conference with 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 3:00 Student didactics with Dr. FRIDAY 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds SATURDAY

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Cardiac auscultation

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Chairman Rounds 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Chairman Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

7: 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Cardiac auscultation 7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Cardiac auscultation

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds 1:15 Chairman Rounds

7:00 Turnover Rounds 7:30 ICU Rounds 8:45 CCU Rounds

ICU #1 & #2. b. All student conferences are held in the Med Ed conference room on the 7th
floor

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Overlook Hospital
Appendix C: ABSENCE DOCUMENTATION FORM
There are no unexcused absences. Permission for time off must be cleared with your individual medical school institution, the medical student clerkship director, and the attending physician for which you are assigned. Please use this form for both time off requested in advance, as well as for emergency absences following your return. Student name:_________________________________________ Medical school:________________________________________ Rotation:_____________________________________________ Date(s) of absence:_____________________________________ Reason:______________________________________________ _______________________________________________________________________ _
For administrative use only.

Approved:_______________________________________________ Medical Student Clerkship Director Approved:_______________________________________________ Medical School Dean of Clinical Education

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Appendix E: Overlook Hospital Internal Medicine Student Evaluation of Faculty

Rotation:______________________________________ Attending:_____________________________________
For each of the following criteria, please rate the faculty member with whom youve worked:

_______________________________________________________________________ _
Availability

1. My attending showed up on time for scheduled sessions, was available for help, was willing to
make time available, returned my pages/emails. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Teaching Effectiveness

2. My attending was an excellent teacher, generated enthusiasm for the subject, and motivated me to
teach myself. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A My attending asked questions in a non-threatening way. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A My attending used bed-side teaching to demonstrate history and physical exam skills, helped me focus my presentations, and answered my questions. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

3.

4.

Patient Care

Atlantic Health Overlook Hospital Sub internship Guide Book18 5. My attending placed the patients interest first, and exemplified a sensitive, caring, and respectful
attitude toward patients. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Professionalism

6. My attending was respectful of students and I felt included as part of the team.
o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A My attending exhibited professional behavior in his/her teaching, didnt belittle me, encouraged questions, and encouraged me to bring up issues. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

7.

Medical Knowledge

8. My attending demonstrated a broad knowledge of medicine, and was able to convey information
in a logical and understandable method. He/she was able to admit knowledge gaps but knew where to find answers to questions posed. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Communication
9. My attending presented in a clear, organized and logical fashion. He/she invited discussions and questions, and listened attentively. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A 10. My attendings expectations were clear and fair. Feedback was timely and helpful. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree

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o N/A

Overall Assessment
11. My attending was a superb teacher, interested in students, generated enthusiasm for medicine, motivated me, and was committed to teaching. He/she served as a strong role model. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Total number of days contact with attending

General Comments

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Appendix E: Overlook Hospital Internal Medicine Student Evaluation of Resident/Intern

Rotation:___________________________________________ Resident/Intern:_____________________________________
For each of the following criteria, please rate the resident with whom youve worked:

_______________________________________________________________________ _
Availability

11. My resident/intern showed up on time for scheduled sessions, was available for help, was willing
to make time available, returned my pages/emails. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Teaching Effectiveness

12. My resident/intern was an excellent teacher, generated enthusiasm for the subject, and motivated
me to teach myself. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A My resident/intern asked questions in a non-threatening way. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A My resident/intern used bed-side teaching to demonstrate history and physical exam skills, helped me focus my presentations, and answered my questions. o Strongly disagree

13.

14.

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o o o o o Disagree Neutral Agree Strongly agree N/A

Patient Care

15. My resident/intern placed the patients interest first, and exemplified a sensitive, caring, and
respectful attitude toward patients. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Professionalism
16. My resident/intern was respectful of students and I felt included as part of the team. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A 17. My resident/intern exhibited professional behavior in his/her teaching, didnt belittle me, encouraged questions, and encouraged me to bring up issues. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Medical Knowledge
18. My resident/intern demonstrated a broad knowledge of medicine, and was able to convey information in a logical and understandable method. He/she was able to admit knowledge gaps but knew where to find answers to questions posed. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree o N/A

Overall Assessment

19. My resident/intern was a superb teacher, interested in students, generated enthusiasm for
medicine, motivated me, and was committed to teaching. o Strongly disagree o Disagree o Neutral o Agree o Strongly agree

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o N/A

Total number of days contact with resident/intern

General Comments

Appendix F: Medicine End of the Sub-internship Survey

Below is a survey to be completed at the end of your Medicine sub-internship at Overlook. This information is used to improve the quality of our curriculum for future rotations you or fellow students may due. Rotation completed (ie. Med Ed, EMO hospitalist, SMG hospitalist): ____________________ What were the strengths of your rotation? _______________________________________________________________________ _ _______________________________________________________________________ _ _______________________________________________________________________ _ _______________________________________________________________________ _ _______________________________________________________________________ _ What would you change about the subinternship if you were able? _______________________________________________________________________ _ _______________________________________________________________________ _ _______________________________________________________________________ _

Atlantic Health Overlook Hospital Sub internship Guide Book23 _______________________________________________________________________ _ _______________________________________________________________________ _ Rate the quality of the didactics from 1 lowest to 10 highest Resident lectures____ Resident Report _____ Attending Rounds _____ Journal Club _____ Grand Rounds _____ Comments about these didactics ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

Did you find the sub-I manual helpful? Please list changes or inclusions you would like to see made. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Would you recommend this rotation to a classmate? If not, why? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________

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