M3 Clerkship

Housestaff Expectations

The teaching of M3 Internal Medicine Clerks is taken very seriously by the Department of Internal Medicine. We strive to provide an excellent educational experience for all students in Internal Medicine.

(Click here for a downloadable pdf version of the following list.)

The following is a set of expectations to better define your role as both teachers and mentors during this rotation.

  • Housestaff will actively participate in the care of the patients assigned to medical students.
    • Every case should be reviewed and discussed with the medical student. If possible, this should be done prior to rounds with the Attending physician.
    • Housestaff are expected to spend time with M3 clerks at the bedside. The focus should be on honing interview and physical examination skills.
    • All students must write daily notes on their patient.
    • Student notes should be forwarded to the senior resident and the attending physician for review.
    • Constructive feedback should be given to the student on an ongoing and as-needed basis.
  • Constructive feedback should be given to the student on a regular basis.
  • While there is no required number of patients to be carried by an M3 clerk at any given time, a student should be assigned approximately 2‐3 patients.
  • Housestaff should encourage M3 Clerks to participate, as appropriate and under close supervision, in procedures. Examples include venipunctures, arterial blood sampling, thoracentesis, arthrocentesis, paracentesis, central line insertion, and lumbar punctures.
  • All student conferences are mandatory and attendance is taken. As such, students are excused from patient care activities at the time of a didactic session.
  • On the day prior to the final examination, students will be excused at 12:00 PM. Students will be expected to attend morning rounds.
  • During each four‐week rotation, students are expected to present a brief Evidence‐Based Medicine (EBM) presentation on a clinical question that arose on one of their patients. Students are expected to search primary medical literature, critique an article (similar to the IM Journal Club for the housestaff), and give a brief informal presentation to their team or supervising physician. The quality of this presentation should be taken into consideration when the student’s performance is evaluated.
  • Like all housestaff, students must be given 1 in 7 days off. Unlike the housestaff, student days off MUST be either Saturday or Sunday; students are NOT permitted to take weekdays off. Students must abide by the 80‐hour work week.
  • M3 Students are off on University Holidays. These do not count toward the “1 in 7” days off requirement and should be regarded simply as an extra day(s) off.
  • If a concern arises regarding student performance or professionalism, this should be brought to the immediate attention of the Attending Physician and the Clerkship Director.
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