Subinternships
MED MS 030.1i: Subinternship in Family Medicine—Boston Medical Center
Students will work as a member of the family medicine team on the East Newton Campus at BMC. The patient pool will be from the HealthNet Rounder system. Students will be acting interns working with 2nd and 3rd year Family Medicine residents. They will be responsible for evaluation and management of patients. Residents and the family medicine ward attending will provide daily supervision, support, teaching, and feedback with respect to sub‐intern’s patients including the history obtained physical exam findings, and management plans.
MED MS 050.3: Pediatric Emergency Medicine
This experience in the Pediatric Emergency Department (PED) is available to one fourth-year student per one-month block. The rotation will focus on clinical problem-solving, with emphasis placed on differential diagnosis and treatment of acutely ill children. Each student will have an opportunity to directly care for children in the PED, supervised by an attending physician and/or fellow, and perform basic procedures when/where appropriate. Shifts are seven to eight hours in length during the daytime or evenings, on weekdays only. Each student is expected to attend teaching conferences during the rotation, in addition to an optional case presentation.
MED MS 051.3: Pediatric Inpatient Medicine—Boston Medical Center
This is a busy inpatient experience during which the student will have supervised responsibilities in the pediatric wards at a level that the inpatient team judges to be commensurate with an individual student’s abilities. The student will admit patients and have responsibility for his/her own patients under the direction of the faculty and house staff on the inpatient service. He/she will be an integral member of the inpatient team participating in all levels of activity.
MED MS 052.3: Pediatric Intensive Care Unit
The Pediatric Intensive Care Unit (PICU) at Boston Medical Center (BMC) is a multidisciplinary six-bed unit caring for children and adolescents. The PICU subintern will work closely on a team with a Boston Combined Residency Program in Pediatrics (BCRP) senior resident and PICU attending. The subintern will be the primary provider for all assigned patients. Major teaching objectives of the rotation are the pathophysiology of childhood critical illness, pediatric advanced life support (PALS), and understanding of intensive care support (e.g., mechanical ventilation and hyperalimentation) as well as psychological and social support for patients and their families. Call is until 10 p.m. every fourth night (including weekends).
MED MS 053.0: Pediatric Subinternship—North Shore Children’s Hospital
The primary goal of this subinternship is to gain experience and develop skills in a supervised setting in the care of pediatric inpatients with a variety of acute medical conditions. Students will gain experience in communicating with primary care physicians and other clinicians regarding the care of the hospitalized pediatric patient, and develop strategies for transferring pediatric patients for tertiary care.
MED MS 057.3: Neonatology
A clinical subinternship in which the student participates in the work-up and care of high-risk patients from the time of their delivery on the maternity floor through their nursery course and follow-up in clinic. Time is available for the student to read in depth about perinatal medicine and to participate in seminars with house staff and senior staff.
MED MS 100.1: Subinternship in Medicine—Boston Medical Center
The Subinternship in Medicine is designed to challenge and enhance the capacity of the student to work as an increasingly independent, highly competent and compassionate caregiver and contributing team member. To achieve this goal, the subintern will work as an advanced care provider under the direct supervision of the inpatient team resident and assume increasing responsibility for the initial evaluation and integration of the total care of assigned patients. The student is expected to integrate medical knowledge with clinical and interpersonal skills in order to demonstrate independent thought and develop a plan of action. The student is expected to develop a balance between acting independently and acknowledging his/her limitations and seeking help as appropriate.
MED MS 100.11: Advanced Acting Internship in Medicine—Boston Medical Center
The Advanced Acting Internship (AAI) builds upon and is a more intensive version of the traditional subinternship. Two AAI students are paired on an inpatient team that has one fewer intern than the traditional ward team, and together, are expected to fulfill the role of one intern. Advanced Acting Interns work under the direct supervision of the team resident and assume care of assigned patients. The student is expected to integrate book knowledge with clinical and interpersonal skills in order to demonstrate independent thought and develop a plan of action. The student is expected to develop balance between acting independently and acknowledging his/her limitations and seeking help as appropriate.
MED MS 101.1: Medical Intensive Care Unit Subinternship
The Medical Intensive Care Unit (MICU) Subinternship is available to selected fourth year medical students and is designed to provide an introduction to the diagnosis and management of critically ill patients with single and multi-system organ failure. Students participate on daily work and radiology rounds, and contribute to the management of patients by collecting and assimilating data for presentation to the attending, arranging consults and tests, and by placing orders and performing common procedures under direct supervision.
MED MS 201.3: Inpatient Gynecology
The student participates as a subintern in all aspects of the inpatient and ambulatory gynecology service, assisting in minor and major gynecologic surgical procedures and following patients post-operatively. The student primarily will work with the East Newton gyn service. Students will prepare a case based presentation at Gyn noon conference and are expected to participate in educating the clerkship students. To receive honors in the clerkship the student will write a paper or create an academic project.
MED MS 202.3: Maternal–Fetal Medicine
The student works with the Maternal Fetal Medicine and resident staff caring for high-risk pregnant patients, in both ambulatory and in-patient settings. The student will function as an acting intern for patients on the ante partum service. The student will attend the high risk prenatal clinics and spend one day per week on the labor floor. They will attend conferences run by the High Risk Department; additionally the student is expected to present at a MFM Thursday noon conference. To receive honors in the clerkship the student will write a paper or create a teaching tool for clerkship students.
Surgery Subinternships
The Department of Surgery offers fourth year students the opportunity to be sub-interns at a variety of our major teaching hospitals. The student will be assigned patients to admit and follow during their hospital course. The student will work with the resident and attending staff in managing the patient’s surgical problems in the operating room, on the inpatient wards and in the ambulatory setting. Attendance at morning and afternoon rounds, morbidity and mortality conferences, and other teaching conferences is an important part of the rotation as well as being on call with residents. Instruction will focus on principles and pathophysiology of surgical disease, pre- and postoperative care, indication for surgical intervention, and procedural skills. This rotation is especially suitable for any student wishing more intensive training in surgery than is possible during the required third year clerkship.
