The Intern Year has an inpatient focus, with about 5-6 months spent on ward services and 2-3 months in the various ICUs. Interns learn to identify acuity of illness, to manage sick and critically ill patients, to perform invasive procedures and to function as the primary care providers for their patients in an outpatient clinic. They also refine their presentation and synthetic skills, teach medical students and their fellow residents, and critically appraise the scientific literature. Throughout the year, interns serve as the primary point of contact for each of their patients, from admission through discharge to follow-up. It is a time of tremendous personal and professional growth.
A typical ward team consists of 2 attending physicians, 2 residents, 2 primary interns, and usually 1 to 2 medical students. Primary interns admit on a Q4 schedule with around-the-clock supervision and teaching. Interns also rotate on night coverage where they admit new patients and cover the inpatient services under the direct supervision of residents.
Depending on the rotation, continuity clinic occurs either weekly or twice during the month while on the wards. There is also one month of dedicated outpatient care that forms the core ambulatory experience in the Intern Year. A unique outpatient educational curriculum includes practical epidemiology and essential outpatient topics ranging from smoking cessation to depression to low back pain.
Additional rotations include one month each spent on vacation (divided into two week blocks), an elective of your choosing, and working within a multidisciplinary geriatric service at the Allen Hospital.