Dear Student:

Welcome to your Clinical Clerkship in Medicine. We want this to be an outstanding educational experience for you.

During the clerkship, you will be an important member of the Medical Ward Team which is comprised of the attending physician, resident, interns and medical students on the service. The website details our objectives for your Clinical Clerkship, plus the schedules and materials which we feel will help you in your orientation to the Medical Service.

You will learn to perform a careful and complete history and physical examination, identify the patients’ problems, develop a differential diagnosis and impression, define that diagnosis in an investigative manner, and then plan for treatment, also in an investigative manner. You will become sensitive and responsive to the needs of your patients, which must come first with you.

Your attendance is required at work rounds and teaching rounds. You are expected to attend teaching sessions unless a patient care matter takes precedence. For this reason, we do not take attendance but trust you to be adult learners. Sometimes these conferences will convey information that seems complex, but feel free to ask questions to clarify any of the concepts, as you are an important part of these conferences. First Exposure INTERNAL MEDICINE: Hospital Medicine, Symptom to Diagnosis or IM Essentials are recommended for day to day reading on your patient’s problems and to prepare for your final exam. Harrison’s Principles of Internal Medicine or UpToDate is recommended for the in-depth reading on specific subjects, usually triggered by a patient in your care. On the last Friday of the Clerkship, you will take a standardized national board examination covering the general field of Internal Medicine. You are expected to pass this test in order to receive a passing grade in the Clerkship. Remember, gaining medical knowledge should be driven not by the motivation to pass this test, but by the goal of taking great care of sick folks, and very soon you are going to need this information to do that.

Finally, it is very important to us that we create an environment that fosters the development of life-long learning skills, reflection, and exemplary professional behavior. To promote this, we will assign you an Internal Medicine Coach. These coaches are trained educators who love students and love to teach. Each coach will work with a “teamlet” of 3-4 students. The goal is to support each other both interpersonally and in your professional development. The coach will help you develop goals and a plan for implementation. They will be available for feedback and even direct observation if you need that. We encourage teamlets to work together on projects that will improve patient care and your own learning.

We are determined to make this an outstanding educational experience for you. If there are problems or questions, you should contact us, Dr. Heather Harrell and Dr. Ryan Nall at 265-0230 and in Jacksonville, Dr. Carlos Palacio at (904) 244-3093. Also please feel free to contact Dr. Richard Schofield, Chief of Medical Services at the Veterans Administration, or the chief medical resident at the Veterans Administration or Shands Hospital for assistance.

Should you wish to convey concerns to someone outside the Department of Medicine, you should contact a member of the Student Advocacy Committee. The Office of Student Affairs can provide you with the names of the members of this committee.

Welcome again, you have our best wishes for a great learning experience.


Heather E. Harrell, MD                                  Ryan W. Nall, MD
Co-Clerkship Director                                    Co-Clerkship Director