Fourth Year (Academic Years 2013 - 2016)
Sub-Internship in Internal Medicine or Pediatrics
The goals of the Sub-Internships in both Internal Medicine and Pediatrics are to provide senior students with increasing responsibility for patient care and an opportunity to function as a more fully integrated member of the medical team on the inpatient services. Students render direct patient care and assume all the responsibilities of an intern with a reduced load. The sub-intern works directly under the resident and is responsible for discussing all care issues with that resident on a daily basis. The sub-intern also works closely with the interns and ward attending.
This four-week clerkship helps students improve their evaluation and presentation skills and practice medical decision-making under the supervision of Emergency Medicine faculty. Clinical experiences in the Emergency Department (ED) allow students to evaluate patients of all ages with acute, urgent and critical complaints, provide opportunities for advancement in procedural skills, and facilitate application of evidence based medicine principles to plan appropriate diagnostic strategies and therapy. Patient encounters will promote efficiency in focused evaluation to address the major complaint, assessment of response, and practice in appropriate dispositions.
This two-week clerkship provides students with the unique opportunity to participate in the direct care of critically ill patients and learn to become an effective member of the critical care team. Students rotate in medical, surgical, or pediatric ICUs and help admit patients to the unit, manage their care, and assist in procedures under the direct supervision of the care team. Students also train on the human patient simulator and gain practical skills in basic resuscitation and initiation of mechanical ventilation.
Introduction to Internship
This two-week clerkship focuses on skill development for internship. Topics include acute management issues and advanced communication and procedural skills. Teaching modalities include small group sessions, evidence-based medicine exercises and simulator encounters. The clerkship is offered in the second semester of the fourth year.
This clerkship gives students an opportunity to revisit the structure of the human body through various imaging modalities. Students are introduced to advances in and clinical applications of various visualization/imaging technologies. Material is presented via interactive presentations, anatomy workshops, and students have the opportunity to participate in Radiology read-out sessions. Students can take this clerkship online or participate in a two-week onsite experience.
Electives are important ways to enhance educational areas of weakness, to experience new opportunities, and to promote a residency plan in some situations. Students may take clinical electives at Icahn School of Medicine at Mount Sinai or its affiliates, at off-campus scholarly institutions or, with the approval of the Global Health office, at an international venue. Electives should represent longitudinal clinical or research experiences and are typically four weeks in duration. Students may create a tailor-made elective or may register for an elective that has been created for the curriculum and is advertised on the website.
Courses Without Walls (CWW)
Courses Without Walls refer to essential themes in medical education. At the Icahn School of Medicine, these threads are woven throughout the core curriculum. Topics are taught and reinforced in depth and breadth as students advance in their training. Ultimately, the CWW themes build into a matrix that is horizontally and vertically integrated over the four-year core curriculum, and is represented in the content and assessments of many host courses. CWW themes include Ethics, Sexual and Reproductive Health, Diagnostic Radiology, Palliative Care, Clinical Laboratories, Global Health, Population Health including evidence-based medicine, medical informatics and library science, Nutrition, Cultural Competency, and Health Policy.