Clerkships at Kaiser Northern California
San Francisco Internal Medicine Clerkships
We welcome fourth year medical students as subinterns on our wards. We attach one student to each team and allow the student as much responsibility as he or she can handle. Most students can handle four or five patients at a time, but we allow them more patients if they wish or fewer if they find that more comfortable. The student subintern participates in every activity of the resident staff teaching program. The subintern is encouraged to attend the ‘morning residents' report between 8:00 a.m. and 9:00 a.m. The remainder of the morning is occupied by patient care and work rounds with the resident. Every weekday, there is a formal lecture (noon conference) held from 12:45 p.m. to 1:45 p.m. Following that, an attending internist joins the ward team for teaching rounds (1 hour). Each Wednesday, there are intern rounds, specifically covering areas that interns have problems with in Medicine. The subintern attends these rounds. The on-call rotation is every fifth night.
We particularly encourage students to apply for subinternships if they have any intention of considering us in the National Residency Matching Program. This gives us a chance to get to know each other. We do not offer subinternships in July when we are acclimating the new group of first-year Interns.
CARDIOLOGY - Visiting Medical Student Clerkship
We are able to offer to a limited number of fourth year medical students a one month rotation with the Department of Cardiology through the Internal Medicine Residency. Such an experience would involve participation in Cardiology CCU rounds, Cardiology inpatient consults, and all of the teaching experiences offered by the Internal Medicine Residency Program. Optional experiences would include EKG readings, ECHO review with staff Cardiologists, weekly Cardiology cath conferences.
Students would develop the following skills through participation in this elective experience:
Develop the ability to perform a directed cardiac history and accurate bedside cardiac physical examination. Formulate assessment of cardiac problems and order appropriate diagnostic procedures. Understand utilization and beginning interpretation of treadmill testing, thallium treadmill and persantine treadmill testing, echocardiograms, nuclear cardiac studies, cardiac catheterizations, and electrophysiologic testing. Assess risks and benefits of relevant diagnostic procedures.
Topics to be discussed include the management of acute myocardial infarction, management of cardiogenic shock, management of valvular heart disease, management of congestive heart failure, management of malignant cardiac arrhythmias, and indications for cardiovascular surgery and percutaneous coronary intervention.
For more information, please contact:
Helen Lee, Kaiser Permanente Residency Program Coordinator
Internal Medicine Residency Program
Kaiser Permanente San Francisco Medical Center
2425 Geary Boulevard/Room M-160
San Francisco, CA 94115-3395
Phone: (415) 833-3034, Fax: (415) 833-4983
Helen.I.Lee@kp.org