Aquifer Internal Medicine Cases

Aquifer cases were developed to teach clinical reasoning and medical decision making in the context of real patient presentations. There are 36 cases and they cover the entire national internal medicine curriculum. If you like this form of interactive learning, these cases can substitute for a textbook.

  • Please make special note of the summary statement feature. Writing summary statements is challenging for most students and this feature allows you to practice and compare your summary to that of an expert. This is one of the reasons we require you to complete at least eight cases.
  • There also is an Aquifer IM case for each of the clinical presentations you are required to log during this clerkship. If you are unable to take care of a patient with one of the required presentations, make sure you complete AND log the appropriate Aquifer IM case. Cases that cover the required presentations are 2, 4, 7, 11, 19, 20, 21, 23, 24, 25, 26, 29, 33, 34, 35, 36.
  • The medicine NBME subject exam contains outpatient as well as inpatient medicine; so if you have not yet completed your Family Medicine clerkship or it has been awhile and you are feeling rusty, you may want to select some of the outpatient Aquifer IM cases to help prepare you for the exam. Check out cases 13,14, and 16 for prevention. If you are looking for cases that cover common conditions often not seen on the inpatient wards, check out cases 4,6,8,15,18, 20, 23, 31, 32, 34.

Completion of eight Aquifer Internal Medicine cases is required for this clerkship. Each case takes 30-45 minutes depending on how fast you read and how many optional links you click. Create an account or if you are already registered for Aquifer Pediatrics, use your same user id and password.

Other Aquifer courses that may be of interest to help you on this rotation include:

  • Oral Presentation Skills-  pediatrics cases that teaches principles of a good oral presentation
  • Diagnostic Excellence- shorter cases but more in-depth about clinical reasoning (1, 3 , 3A, 5, 5A are most relevant to internal medicine)
  • High Value Care- brief clinical cases addressing principles of HVC (cases 1-6, 9, & 12 are most relevant to internal medicine)