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College of Medicine MD Curriculum

Medical Intensive Care Unit Acting Internship 鈥� Riverside Methodist Hospital

Title of Course: Medical Intensive Care Unit Acting Internship 鈥� Riverside Methodist Hospital

Elective Year(s): Fourth year

Department: Internal Medicine

Type of Elective: Clinical

Course Site: Riverside Methodist Hospital

Course Number: MEDI 816

Blocks Available: Varies

Number of Students per Block: Varies

Faculty: Andrew MacMillan, M.D. and other various faculty

Elective Description/Requirements:
Students serving as acting interns will function in the role of a primary physician for a small number of patients. The resident on the medical service as well as the attending physician will supervise the student. Students will perform all duties expected of an intern on an internal medicine service including performing the initial history and physical and written admitting orders, progress notes and discharge summaries. A didactic and bedside lecture course focused toward the pathophysiology and clinical assessment of all organ systems as they pertain to critically ill patients will be presented. Student management of critically ill patients will emphasize the pathophysiology, assessment and management of respiratory failure (including interpretation of EKG鈥檚 and the use of mechanical ventilation), the pathophysiology and management of shock and multiple organ failure syndrome (including the use and interpretation of invasive hemodynamic monitoring), and nutritional support of the critically ill.

Length of Course: 4 weeks

Educational Course Objectives and Links to EPOs:

  1. Interview patients and review pertinent medical records collecting data concerning the patients鈥� presenting problems. (EPOs: PC-1)
  2. Perform a complete or focused physical examination as appropriate and distinguish normal from abnormal findings. (EPOs: PC-1)
  3. Synthesize information to develop a reasonable differential diagnosis and be prepared to present to the preceptor. (EPOs: PC-7)
  4. Following an assessment of all assigned patients, students will describe the chief problems and a plan for treatment. (EPOs: PC-7)
  5. Prepare a complete H & P for a new patient admitted to the service and chart the results. (EPOs: PC-1)
  6. Periodically re-evaluate patients鈥� status including interpretation of new history and physical exam findings (EPOs: PC-1)
  7. Document clinical encounters in the medical record. (EPOs: PC-1)
  8. Communicate concise, pertinent information at the time of handoff. (EPOs: IPC-1, IPC-2)
  9. Use and interpret laboratory and radiographic tests used in diagnosing common diseases. (EPOs: PC-6, MK-4)
  10. Recognize and manage situations related to common diseases that are potential emergencies. (EPOs: PC-8)
  11. Apply principles of health systems science in addressing clinical care issues for your patients. (EPOs: SBP-1, SBP-2, SBP-3, 聽SBP-5, PB-1)
  12. Incorporate feedback, self-reflection and improvement into daily practice. (EPOs: PBL-1, 聽PBL-3)
  13. Identify ethical problems which arise in patient treatment and care. (EPOs: PB-1, PC-2)
  14. All students participating on this clerkship will meet or exceed the institutional standards for professional behaviors as evidenced by: (EPOs:聽 PB-1, PB-2, PB-3)
  15. Participate in evening or weekend clinical care to support continuity of patient care and demonstrate professionalism in varied clinical settings. (EPO: IPC-2)
  16. Conduct structured patient handoffs using an evidence鈥慴ased communication approach to ensure safe and accurate transfer of care. (EPO: SBP-1)

Professionalism:
UT/COMLS students will meet or exceed the institutional standards for professionalism as stated in the current Educational Program Objectives and the current Educational Course Objectives for the Sponsoring Department.

Instructional Methods:

  1. Small Group 鈥� clinical skills
  2. Interpretation of lab data
  3. Diagnostic tests 鈥� use/interpretation
  4. Online module
  5. Lecture/media
  6. Independent study
  7. Inpatient rounds

Assessment Methods Employed:

  1. Atcting Internship Assessment
  2. Case presentation
  3. Case write up
  4. Clinical Log

Prerequisites: Successful completion of required Internal Medicine Clerkship

Special Requirements:

  1. As part of the acting internship, students are required to participate in at least one evening or weekend clinical experience. 聽This experience ensures exposure to the full spectrum of patient care responsibilities and supports readiness for residency-level schedules and work environment.
  2. Students are expected to participate in structured patient handoffs as part of their clinical responsibilities. 聽This includes observing and contributing to the sign-out processes to ensure safe, effective transitions of care.
  3. Students will be expected to be in the hospital six or seven days a week. Call will be every fourth night on average.

Clerkship Director: Mani Askari, M.D.

Clerkship Coordinator: Dawn D. Jagodzinski
Phone Number: 419-383-5022
Email Address: dawn.jagodzinski@utoledo.edu

ECC Approved
March 2026