Current affiliation with Albany Medical College, University of New England College of Osteopathic Medicine and Ross University School of Medicine.

We welcome and encourage third and fourth year students who are interested in our program to do a clerkship at St. Clare's Hospital.
 

Clerkship

St. Clare's Hospital Family Health Center

Sub-Internships

	MS4 in Family Practice
	Critical Care
	Medical Imaging
	Emergency Medicine

 

	To introduce the student to the evaluation and management of patients followed in a family practice health center
	To teach and solidify clinical skills, including history and physical diagnosis, problem-oriented assessment, psychosocial evaluation, presentation of patients, and charting using the SOAP format
	To introduce the student to family practice as a discipline and the life of a family practice resident
	To provide the student with other experiences available in a family practice residency program and community hospital, including attending inpatient rounds/morning report, nutritional assessment, participating in maternity care and vaginal deliveries, participating in phlebotomy and IV rounds, attending special procedures (pulmonary function tests, exercise stress testing, echocardiography, endosocpy, etc.), and emergency department, if available
	To provide the student with an opportunity to participate in practice oriented research

Responsibilities:
 

	Clerkship will run for 4-6 weeks, depending upon the medical school.
	There are no call responsibilities. Students are expected to attend morning report and may leave after the afternoon clinic.
	Students will work each session with a resident or attending physician. During the first several days, the student may shadow his/her resident to become familiar with the FHC. By the second week, it is expected that students will be given the opportunity to provide initial patient assessments themselves, prior to presenting to their supervising attendings or resident physicians. All patients must be evaluated by a resident or attending physician prior to leaving the health center.
	After evaluating a patient, students are responsible for documenting the results of their evaluations. The resident or attending physician will review the notes.
	Students will attend all scheduled conferences:    a. Morning report       (Mon, Thu, Fri, 8 a.m.; Tue, 7:30 a.m.)    b. Subspecialty rounds       (Wed, 7:30 a.m.)    c. Grand rounds       (Tue, 8:15 a.m.; except first Tuesday of the month)    d. OB rounds       (every other Fri, 7:15 a.m.)    e. Noon conference       (Mon through Fri, 12:15 p.m.)

Evaluation:

The student will be evaluated by the residents and attending physicians with whom he/she has worked. A midpoint evaluation will be conducted to identify any problems and develop strategies for improvement and enhancement of the experience. The student is encouraged to discuss any concerns with the residents, attendings, and/or the predoctoral supervisor.

A formal evaluation will be prepared, using the evaluation tool of the student’s medical school. The evaluation will be based on the following:
 

	Fund of medical knowledge
	Quality of assessment and presentation
	Clinical judgment
	Rapport with and sensitivity towards patients, families, and staff
	Effort, motivation, comprehensiveness, and reliability.

For your application to be considered complete, the following items must be in order:
 

	Completed application form. Download Application
	Copy of your medical school transcript
	Immunization and health assessment forms
	Letter of good standing from your Dean or their designee
	Current resume

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	To introduce the student to the medical management of inpatients by family physicians and family practice residents in a community hospital family practice residency program
	To enhance the student’s skills in the initial assessment and development of diagnostic and therapeutic plans for the hospitalized patient
	To provide the student with increased responsibility for medical decision making under the guidance of family practice residents and attending physicians

Responsibilities:
 

	Student will spend first 3 weeks on the internal medicine teaching service. He/she will have the option to spend the fourth week on the maternal/child (OB and Peds) teaching service.
	Efforts will be made to assign to the student 3-4 inpatients who will be followed, preferably from time of admission to time of discharge from the hospital. Patients will be followed under the supervision of the 2nd year and/or 3rd year resident on the service.
	The student will be responsible for completing an admission H&P, assessment, diagnostic and therapeutic plan, and daily notes for his/her patients. He/she will review the patient with the senior resident and attending, and formally present the patient at morning report. He/she will write all orders, which must be co-signed by a resident.
	The student will be responsible for taking call a total of 5 nights (1 weeknight/week and 1 weekend day and night/month). Students are encouraged to spend the night of call in the hospital and follow the medicine resident during the night to all “changes of status” and for all admissions. They should also notify the OB resident, if interested in attending deliveries. Students may take off the day after call, once their work is completed and they have been excused by the senior resident on the service. The student and senior resident will work out a call schedule during the student’s first day of service.
	The student will attend all scheduled conferences:    a. Morning report       (Mon, Thu, Fri, 8:00 a.m.; Tue, 7:30 a.m.)    b. Subspecialty rounds       (Wed, 7:30 a.m.)    c. Grand rounds       (Tue, 8:15 a.m.; except first Tuesday of the month)    d. Noon conference       (Mon through Fri, 12:15 p.m.)    e. OB conference       (Fri, 7:15 a.m.)    f. Other meetings       (scheduled by senior resident / attending physician)

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Critical Care Sub-internship
Duration: 4 weeks
Location: St. Clare's Hospital Critical Care Area
On-call: Optional, one per week

Content:
St. Clare's Critical Care Area is an active combined 16 bed coronary care and medical-surgical ICU. Exposure to these areas for fourth year medical students is provided through an acting internship. Patient responsibility is assigned as appropriate to a student's skill level and will provide experience in acute care aimed at patient assessment, history, physical diagnosis and laboratory assessment of acutely ill patients. Medical students will actively participate in daily teaching rounds and conferences. Supervision and teaching of students is provided by full time critical care attending, private attendings, consultants and resident staff.

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Medical Imaging
POSITIONS LIMITED TO ACTIVE APPLICANTS TO THE ST. CLARE'S RESIDENCY PROGRAM ONLY.
Duration: 2-4 weeks
Location: St. Clare's Hospital Medical Imaging Department
On-call: None

Content:
Each senior resident, in a one-on-one setting with a board-certified radiologist, will receive basic instruction in interpretation of plain films with additional instruction in ultrasound, CT, nuclear medicine and MRI interpretation. Students will be invited to participate in special procedures including CT and ultrasound-guided biopsies, angiography and stereotactic breast biopsy, as their interests may dictate. Instruction will be accomplished through participation in the day-to-day operation of the medical imaging department including observation and discussion with individual radiologists and by taking part in radiological conferences and consultations.

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Emergency Medicine
POSITIONS LIMITED TO ACTIVE APPLICANTS TO THE ST. CLARE'S RESIDENCY PROGRAM ONLY.
Duration: 4 weeks
Location: St. Clare's Hospital Emergency Department
On-call: None

Content:
The emergency medicine rotation for residents and medical students at St. Clare's Hospital provides a broad range of clinical experience pertinent to primary care training. Exposure to a variety of medical and surgical problems is abundant. Particularly common are acute cardiac, pulmonary and infectious disease problems. The geriatric population is well represented. About 15% (6,000) of our annual emergency department volume is pediatrics. This covers many problems ranging from otitis media to status epilepticus and neonatal emergencies. Major trauma cases are infrequent. We do, however, see a large population with less life threatening but still serious injuries. This includes exposure to orthopedic injuries of all sorts and minor surgical problems requiring surgical intervention. Obstetrics and gynecology cases are also common; this correlates with the 24-hour inpatient availability to provide services for these problems. Part of the emergency department case load is streamlined through the "fast-track" area where less severe and less time consuming problems can be seen quickly and efficiently. This can be a valuable experience for future office practice. Residents and students are supervised during their rotation by emergency medicine physicians and family practice faculty staff. Active involvement in patient management and procedures is encouraged. Chart documentation and engagement of ancillary staff, eg. consulting physicians, social workers, physical therapists, etc. are all part of the experience.

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