You will be accepted as part of the ward team during this clerkship, and are expected to participate actively in work rounds, attending rounds, and conferences regarding your patients. This rough schedule applies at rotations at YNHH. You will be given an orientation and schedule to follow.
The student is expected to pre-round in the morning. Pre-rounding consists of checking vital signs, checking lab work, and doing a directed physical exam on the patients that you are following. Allow 15 minutes of pre-rounding time per patient. You are expected to “be the expert” on your own patients.
Residents start the day at Yale with morning report from 7:30-8:30 while you are prerounding on your patients. Team rounds begin at 8:30 am weekdays, and 8:00-9:00 am (or even earlier) on weekends; check with your team for your weekend schedule. You will generally round on patients from 8:30-10:30 except on Thursday when residents have no report. On Thursdays you would start team rounding at 7:30 and you and the whole team will break off early to attending Medical Grand Rounds from 8:30-9:30 and resume rounding thereafter.
Typically residents will leave the team at 9:30 to attend Resident Report and you and the intern will discuss the plan for your patients. You may have some individual teaching from your attending or an occasional student-specific case conference while your resident is at report.
Many teams will have attending rounds from 11am -12pm but the frequency of this will vary by team and whether your team is post-call or not. Depending on your team you may have attending rounds anywhere from one to five times per week. Be prepared to take first 5 minutes of attending rounds to present focused literature review answer to patient-driven question that came up on morning work rounds the day prior to attending rounds. This should occur a minimum of once per week. Collect these small presentations as part of your Portfolio.
Remainder of day
You will refer to your schedule for student-specific activities in the afternoon (see Didactic Activities below). We have tried to minimize taking you off of the floor but some of these activities are only learned during the medicine clerkship so are important to attend. The student’s day ends when all care for patients is complete and last scheduled conference is over.
This is your core curriculum. There are site-specific differences; refer to your site’s schedule. YNHH calendar available under “Monthly Conference Schedule” but is subject to change. We will try to update the web-calendar as soon as we learn of a change but in addition Kathy Bertier, the Clerkship coordinator, will email everyone to notify you of a change at the Yale site.
Everyone from all sites is expected to attend Workshops given on last Friday afternoon of Med Block I (“Giving Bad News”) and Block 2 (Palliative Care Interdisciplinary Workshop).