Subinternship - Wichita

The required four-week subinternship gives medical students an opportunity to become more proficient in a specific area of medicine. Subinternships can be taken in any of the six core specialties (obstetrics/gynecology, pediatrics, surgery, family medicine, internal medicine, or psychiatry). They provide a more comprehensive course than that of the third-year required clerkship.

FCMD 998 Subinternship in Family Medicine (4). The student will function as a subintern at one of the three KUSM-W sponsored family practice residency programs.—Via Christi or Wesley in Wichita or Smoky Hill in Salina. Experiences include evaluation of outpatients and inpatients and performance of procedures under direct supervision of residents and faculty. Assignments include in-hospital call and case presentations as directed by the individual residency. Evaluation is based on assessment of clinical performance and case presentations. Prerequisite: FCMD 975. CLN

INMD 998 Subinternship in Internal Medicine (4). This course is designed to give the student practical experience in the hospital care of general medicine patients and patient care at the intern or R1 level. Students will perform and dictate the initial history and physical, write orders, perform indicated procedures under the supervision of a senior resident and/or faculty attending, and dictate discharge summaries on patients. Students will take hospital call with the senior resident, attend scheduled rounds and conferences, and function as a member of the patient care team. Prerequisite: Medical Basic Sciences and INMD 975. CLN

OBGN 998 Subinternship in Obstetrics and Gynecology (4). The student will become proficient in pre-and post-operative evaluation of various procedures and the management of uncomplicated and complicated obstetric problems. He/she will gain an understanding of the pathophysiology of both obstetrics and gynecologic diseases and present an oral case presentation conference with discussion to OB-GYN staff physicians along with a third or fourth year resident. Subintern will be under direct supervision of 1 to 2 OB-GYN staff physicians along with a third or fourth year resident and will have direct responsibility for orders, pre- and post-operative evaluation, including H & P and discharge summary. The subintern will be exposed adequately to call for both obstetrics and gynecology. The subintern will work up approximately 2 new patients per day. Evaluation will be made by the staff that were directly responsible for supervising the subintern along with the third or fourth year resident that was assigned to him or her. Prerequisite: Medical Basic Sciences and OBGN 975. CLN

PDRC 998 Pediatric Subinternship (4). The student will participate in pediatric case management in a greater comprehensive manner than that of the general pediatric student curriculum. The student will be assigned to a pediatric resident and will participate in the clinical case load of the assigned resident. He/she will be expected to gather and analyze data as pertaining to the assigned pediatric care load. The student will perform physicals and dictate histories on assigned patients where permitted. Case load will be 1-3 patients per day. The student will formulate plan of management with written orders to be reviewed and countersigned by resident and faculty, perform indicated procedures under supervision, and dictate discharge summary of assigned patients where permitted. He/she will take call and attend scheduled rounds, pediatric clinics, and conferences with supervising resident. Evaluation will conform to the clinical assessment utilized for pediatric resident. Assessment of performance will be done jointly by supervising resident and faculty member. Prerequisite: PDRC 975 and senior standing. CLN

PSCR 998 Subinternship in Psychiatry (4). This course is designed to expand the student's experience in general psychiatry by having them assume supervised, clinical responsibility equivalent to that of an intern or PGY-1 resident. Students will perform and dictate initial history and physical examinations, formulate diagnoses and treatment plans, write orders to be reviewed and countersigned, dictate discharge summaries, participate in the evaluation and intervention of psychiatric emergencies, attend scheduled rounds, conferences, and PGY-1 didactics. Prerequisite: PSCR 975, INMD 975, SGRY 975, senior standing. CLN

SGRY 998 Subinternship in Surgery (4). The student will learn to work up patients with elective surgery, acute surgical abdomen, or GI bleeding, perform fundamental diagnostic and therapeutic procedures, and assist in certain endoscopies. The student will present a patient's clinical problems in a clear and concise manner. The student will be a part of a surgical team consisting of the attending surgeon and the senior and junior surgical residents. He/she will work up patients with the junior surgical resident and be reviewed by the attending surgeon and senior surgical resident. He/she will make daily rounds with the surgical team, scrub on all surgical procedures on his/her patients, and attend all conferences required of surgical residents (consultant rounds, surgical grand rounds, etc.). He/she will assist in the operation, attend clinics and minor surgery clinics. The student will work up approximately one new patient per day. Evaluation will be based on patient workups, technical skills, rapport with patient, paramedical personnel, and surgical team. Prerequisite: SGRY 975, INMD 975, and senior standing. CLN