25:
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outlined in the third-year clerkship and ought to uniquely emphasize the knowledge and skills needed to independently treat and manage acutely ill inpatients. To facilitate these goals, it has been recommended that SI programs place fourth-year students in a role that completely replaces the intern, albeit under the supervision of senior house staff. In particular, it has been recommended that subinterns should
157:. In this way, the student can experience a glimpse of their future career without the burden of full responsibility. Additionally, many medical students select sub-internships at institutions where they wish to apply for residency; such rotations are "auditions" for the student to demonstrate his or her commitment to the outside program.
170:
patients on call days, act as information liaison between the medical team and hospital staff, communicating plan of care to patient. Responsibilities that are generally limited or withheld include: writing orders or prescriptions, performing major procedures, obtaining consent from patients for procedures or surgeries.
198:
in the third-year clerkship. Nevertheless, it is unclear to what extent individual medical schools have addressed the unique educational needs of the SI. In an attempt to clarify the structure and requirements of internal medicine SI programs throughout the United States, a survey study was undertaken.
197:
Despite the valuable and distinctive experience of the SI, it has been neglected by medical educators and researchers as an area needing development and standardization. At an organizational level, the SI currently lacks the clearly defined curricular goals and rigorous evaluation methodologies found
169:
offered an internal medicine sub-I a.k.a. (AI) to medical students. In general the following responsibilities are given to a sub-I student: accept and give sign-out of all patients on the team, assess assigned patients before morning rounds, write problem oriented notes daily on all patients, admit
176:
It has been argued that the SI should be viewed as the culmination of a coordinated 4-year program of study in clinical care, with an aim to prepare fourth-year students for the demanding experience of internship. Ideally, the educational goals of the SI should complement and expand upon those
133:, which typically takes place at their home hospital but may also be done at a different hospital than the student's medical school affiliation. A student will generally select an elective "sub"-internship, where the student will perform the role of an
305:
542:
598:
567:
577:
552:
298:
680:
654:
562:
291:
593:
444:
266:
465:
412:
403:
537:
659:
35:
557:
314:
130:
93:
221:
65:
333:
166:
141:. The rotation is generally pursued in the field appropriate to career interest. For example, a sub-I can be taken in
547:
72:
572:
476:
79:
460:
434:
408:
50:
173:
A recent editorial highlighted the changing role of the subinternship (SI) in the medical school curriculum:
532:
481:
382:
61:
216:
350:
154:
633:
365:
355:
134:
86:
360:
8:
638:
372:
283:
234:
138:
46:
429:
398:
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243:
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142:
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614:
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or first year medical graduate, under the supervision of senior house staff and
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24:
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have separate conferences which focus on patient management issues
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be able to write medical orders that are cosigned by a physician
129:
is a clinical rotation of a fourth-year medical student in the
313:
265:
Reddy, S; Fegan, MG; Mechaber, AJ; Green, EH; Sidlow, R,
543:
American
Association of Colleges of Osteopathic Medicine
217:"The Structure and Content of the Medical Subinternship"
165:
At the turn of the 21st century ninety-eight percent of
184:
be provided with an explicit set of learning objectives
568:
Accreditation
Council for Continuing Medical Education
181:
have a dedicated coordinator of educational activities
161:
Internal medicine sub-I; a.k.a. Internal medicine AI
578:
Educational
Commission for Foreign Medical Graduates
553:
Accreditation
Council for Graduate Medical Education
264:
672:
563:Commission on Osteopathic College Accreditation
299:
51:introducing citations to additional sources
655:Issues in higher education inside the U.S.
306:
292:
268:Internal Medicine Subinternship Curriculum
242:
538:Association of American Medical Colleges
193:participate in supervised cross-coverage
41:Relevant discussion may be found on the
681:Medical education in the United States
673:
558:Liaison Committee on Medical Education
315:Medical education in the United States
214:
131:United States medical education system
287:
235:10.1046/j.1525-1497.2001.016008550.x
222:Journal of General Internal Medicine
18:
13:
660:Physician shortage inside the U.S.
548:National Resident Matching Program
14:
692:
573:American Osteopathic Association
34:relies largely or entirely on a
23:
435:Doctor of Osteopathic Medicine
409:International medical graduate
215:Sidlow, Robert (August 2001).
208:
1:
201:
16:Year of medical school in USA
533:American Medical Association
383:Continuing medical education
7:
10:
697:
351:Graduate medical education
647:
607:
586:
525:
453:
422:
404:Osteopathic Medicine (DO)
391:
321:
155:Obstetrics and Gynecology
634:William Stewart Halsted
139:attending physicians
47:improve this article
639:Andrew Taylor Still
373:Board certification
599:Specialty colleges
430:Doctor of Medicine
167:US medical schools
668:
667:
526:Regulatory bodies
143:Internal Medicine
124:acting internship
112:
111:
97:
688:
308:
301:
294:
285:
284:
280:
279:
278:
273:
257:
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246:
212:
107:
104:
98:
96:
62:"Sub-internship"
55:
27:
19:
696:
695:
691:
690:
689:
687:
686:
685:
671:
670:
669:
664:
643:
615:Abraham Flexner
603:
594:Medical schools
582:
521:
449:
418:
387:
317:
312:
276:
274:
271:
261:
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213:
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204:
163:
108:
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99:
56:
54:
40:
28:
17:
12:
11:
5:
694:
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631:
626:
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621:Flexner Report
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344:Sub-internship
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334:Medical school
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229:(8): 550–553.
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116:sub-internship
110:
109:
45:. Please help
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15:
9:
6:
4:
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2:
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682:
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629:William Osler
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469:
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438:
436:
433:
431:
428:
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421:
414:
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407:
405:
402:
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399:Medicine (MD)
397:
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357:
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118:(abbreviated
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103:November 2017
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64: –
63:
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58:Find sources:
52:
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38:
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36:single source
32:This article
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26:
21:
20:
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275:, retrieved
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329:Pre-medical
445:Comparison
366:Fellowship
356:Internship
277:2011-04-21
202:References
151:Pediatrics
73:newspapers
608:Reformers
378:Licensure
361:Residency
339:Clerkship
43:talk page
675:Category
392:Pathways
253:11556932
498:Level:
423:Degrees
244:1495247
147:Surgery
87:scholar
648:Topics
494:COMLEX
470:Step:
440:MD–PhD
322:Stages
251:
241:
135:intern
89:
82:
75:
68:
60:
587:Lists
466:USMLE
454:Exams
272:(PDF)
153:, or
122:) or
120:sub-I
94:JSTOR
80:books
461:MCAT
413:MBBS
249:PMID
127:(AI)
66:news
510:2PE
505:2CE
482:2CS
477:2CK
239:PMC
231:doi
49:by
677::
247:.
237:.
227:16
225:.
219:.
149:,
145:,
114:A
515:3
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411:(
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101:(
91:·
84:·
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53:.
39:.
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