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The Internal Medicine Subinternship--Now More Important than Ever: A Joint CDIM-APDIM Position Paper
T Robert Vu1, S V Angus, P B Aronowitz
1Indiana University School of Medicine, Indianapolis, IN, USA, tvu@iu.edu.
Journal of General Internal Medicine
|July 16, 2015
Summary
The internal medicine (IM) subinternship curriculum was updated to prepare medical students for residency. This involved defining core skills and expectations for the IM subinternship to improve the medical school-to-residency transition.
Area of Science:
- Medical Education
- Internal Medicine Training
Background:
- The internal medicine (IM) subinternship is a crucial bridge between medical school and residency.
- A formal curriculum was established in 2002, but graduate medical education (GME) has since evolved significantly.
Purpose of the Study:
- To re-evaluate and enhance the goals of the IM subinternship.
- To ensure medical students are adequately prepared for residency training.
Main Methods:
- Survey of Association of Program Directors in Internal Medicine (APDIM) members in 2010.
- Input from the Clerkship Directors in Internal Medicine (CDIM) Subinternship Task Force.
- Formation of a joint CDIM-APDIM committee to redefine subinternship expectations.
Main Results:
- Identified core skills expected by program directors from new medical graduates.
- Defined minimum expectations for an IM subinternship rotation.
- Proposed recommended skills for IM subinterns.
Conclusions:
- The IM subinternship curriculum requires updates to align with modern GME.
- Clearer definitions of skills and expectations enhance the transition from medical school to residency.
- Addressed challenges and future directions for the IM subinternship.
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