Sub-internship (medicine)

Sub-internship (medicine)

A "sub"-internship (abbreviated "sub-I") is a clinical rotation of a fourth-year medical student in the United States medical education system usually at a different hospital than the student's medical school affiliations. A student will generally select an elective "sub"-internship, where the student will perform the role of an intern or first year medical graduate. The rotation is generally pursued in the field appropriate to career interest. For example, a sub-I can be taken in Internal Medicine, Surgery, Pediatrics, or Obstetrics and Gynecology. In this way, the student can experience a glimpse of their future career without the burden of full responsibility. The term sub-internship has its roots in the Latin term for "under," which describes the elective well.

Internal medicine sub-I

At the turn of the 21st century ninety-eight percent of US medical schools offered an internal medicine sub-I to their medical students. In general the following responsibilities are given to a sub-I student: accept and give sign-out of all patients on the team, assess assigned patients before morning rounds, write problem oriented notes daily on all patients, admit patients on call days, act as information liaison between the medical team and hospital staff, communicating plan of care to patient. Responsibilities that are generally limited or withheld include: writing orders or prescriptions, performing major procedures, obtaining consent from patients for procedures or surgeries.

A recent editorial highlighted the changing role of the subinternship (SI) in the medical school curriculum.1 It has been argued that the SI should be viewed as the culmination of a coordinated 4-year program of study in clinical care, with an aim to prepare fourth-year students for the demanding experience of internship. Ideally, the educational goals of the SI should complement and expand upon those outlined in the third-year clerkship and ought to uniquely emphasize the knowledge and skills needed to independently treat and manage acutely ill inpatients. To facilitate these goals, it has been recommended that SI programs place fourth-year students in a role that completely replaces the intern, albeit under the supervision of senior house staff. In particular, it has been recommended that subinterns should 1) have a dedicated coordinator of educational activities, 2) be provided with an explicit set of learning objectives, 3) have separate conferences which stress patient management issues,4) be able to write medical orders that are cosigned by a physician, and 5) participate in supervised cross-coverage.

Despite the valuable and distinctive experience of the SI, it has been neglected by medical educators and researchers as an area needing development and standardization. At an organizational level, the SI currently lacks the clearly defined curricular goals and rigorous evaluation methodologies found in the third-year clerkship.2–4 Nevertheless, it is unclear to what extent individual medical schools have addressed the unique educational needs of the SI. In an attempt to clarify the structure and requirements of internal medicine SI programs throughout the United States, a survey study was undertaken.


last1 = Reddy | first1 = S
last2 = Fegan | first2 = MG
last3 = Mechaber | first3 = AJ
last4 = Green | first4 = EH
last5 = Sidlow | first5 = R
title = Internal Medicine Subinternship Curriculum
url =
accessdate = 2007-08-23

Wikimedia Foundation. 2010.

Игры ⚽ Нужно решить контрольную?

Look at other dictionaries:

  • Internship (medicine) — Not to be confused with Internist. A medical intern is a term used in the United States for a physician in training who has completed medical school. An intern has a medical degree, but does not have a full license to practice medicine… …   Wikipedia

  • Medicine — This article is about the science and art of healing. For pharmaceutical drugs, see Medication. For other uses, see Medicine (disambiguation). Statue of Asclepius, the Greek god of medicine, holding the symbolic Rod of Asclepius with its coiled… …   Wikipedia

  • Medicine in China — In China, most hospitals are run by the government, therefore physicians were previously quasi government employees and enjoyed little freedom in the choice of the hospital to work with. In addition, decades of planned economic policy discouraged …   Wikipedia

  • Residency (medicine) — Anesthesia residents being led through training with a patient simulator Residency is a stage of graduate medical training. A resident physician or resident (also called a house officer / senior house officer in the United Kingdom and several… …   Wikipedia

  • Doctor of Medicine — (MD, from the Latin Medicinae Doctor meaning Teacher of Medicine ) is a doctoral degree for physicians. The degree is granted by medical schools. It is a professional doctorate / first professional degree (qualifying degree) in some countries,… …   Wikipedia

  • Doctor of Osteopathic Medicine — D.O. redirects to this page, which primarily discusses relevant qualifications and titles in the United States. For other uses of D.O. or DO, see DO. Osteopathic medicine Osteopathy Osteopathy in Australia New Zealand Osteopathic medicine in… …   Wikipedia

  • Clerkship (medicine) — In medical education, a clerkship, or rotation, refers to the practice of medicine by medical students during their latter years of study. Usually, the first half of medical school trains students in the classroom setting, and the second half… …   Wikipedia

  • Osteopathic medicine in the United States — Andrew Taylor Still (founder) Doctor of Osteopathic Medicine (DO) Medicine · US Medical education Schools · Physicians Osteopathic Manipulative Medicine AOA · …   Wikipedia

  • Emergency medicine — is a speciality of medicine that focuses on the diagnosis and treatment of acute illnesses and injuries that require immediate medical attention. While not usually providing long term or continuing care, emergency medicine physicians diagnose a… …   Wikipedia

  • Medical school — Med school redirects here. For the experimental drum and bass label, see Hospital Records#Med School. See also: Medical education and List of medical schools Founded in 1765, The Perelman School of Medicine at the University of Pennsylvania… …   Wikipedia

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”