Central Washington Family Medicine Fourth Year Sub-Intership
CWFM-R’s sub-internship (advanced fourth year elective) in family medicine is a four-week block rotation for fourth year students from U.S. LCME and Osteopathic accredited medical schools.
The sub-internship provides exposure to the clinic, the hospitals, and the community, emphasizing continuity of care and exposure to the common problems which present in the family medicine clinic. The busy inpatient experience serves a typical family medicine population of neonates, ante-partum and post-partum patients, toddlers, children, adolescents, adults, and geriatric patients.
A typical day includes hospital rounds and morning report followed by afternoon on the service or in the clinic. On the service, students are given primary responsibility for one to three patients depending on service volume and the acuity of patient illness.
One afternoon a week, students attend the residency’s didactic conference which includes hands on workshops and lectures. Call is taken with a senior resident and averages every fourth night, which usually includes one or two weekends. Call is taken from home and involves evaluating and admitting any patients seen in the emergency department.