M3 Clerkship

Faculty and Preceptors Expectations

    Attending Physician Expectations

    • Attendings are to allow students to independently perform history and physical exams on patients.
    • Attendings are expected to allow the students to present their patients during the rotation. The attending physician may determine how and when the students present their patients in order to manage the work of the team most appropriately.  The attending should discuss the differential diagnosis and treatment plans with the student.
    • 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.
    • 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.
    • Like all housestaff, students must be given one in seven 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 excused for University Holidays and designated School of Medicine Holidays.  These do not count toward the one in seven days off requirement and should be regarded simply as an extra day(s) off.
    • On the day prior to the final examination, students will be excused at 12:00 PM. Students will be expected to attend morning rounds.
    • Attendings should review the progress of the student at the two week (midpoint) interval. This review should be one on one and should have constructive feedback.
    • Attending physicians are required to complete the students’ midpoint evaluation forms, which will be provided to the attending by the students.   It is a School of Medicine requirement that these forms be completed by an attending physician.
    • A final written evaluation that has both summative and formative comments will be used to provide timely feedback to students. The attending will receive this evaluation electronically via email and should complete this evaluation at the conclusion of the rotation.
    • Attendings should communicate any questions or concerns to the Clerkship office (Clerkship Coordinator and/or Clerkship Director).

    Student Expectations

    • Students will perform oral case presentations and patient write‐ups for attending physician review.
    • Students will present a brief evidence‐based medicine (EBM) presentation to their team or supervising physician. Students are responsible for initiating the presentation and submitting the EBM worksheet to the eCurriculum Assignments Manager before the end of the four‐week rotation.
    • Students will maintain a patient list and a procedure list. This will be entered on the VCU School of Medicine online passport program.
    • Students shall complete required readings, patient write‐ups, and other assignments as relevant to the Clerkship.
    • Students must attend all TBL sessions regardless of whether a student is rotating at VCUHS or the VAMC.
    • Students rotating on an inpatient MCV rotation are required to attend all MCV core lectures. Students on inpatient rotations at the VAMC are only required to attend those core lectures which are given jointly at the VAMC/MCV or which are broadcast to the VAMC by teleconference.
    • Illnesses or other personal emergencies/issues should be documented with an exception request form and cleared with the student’s team on the day of the absence. All unexcused absences from required Clerkship activities will be documented in a professionalism concern note.