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Internal Medicine Hands-On Inpatient/Outpatient Rotation in San Francisco, California

Location
San Francisco, CA 94117
Specialty
Internal Medicine
Hospital Affiliations
UCSF Health - St. Mary’s Hospital, California Pacific Medical Center (CPMC)
Clinical Exposure
Combined Inpatient/Outpatient, Hands-On Outpatient, Inpatient
Price
$2600 / 4 Weeks
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Attending Introduction

Internist based in San Francisco, CA, with over 40 years of medical experience, graduated from the University of Minnesota Medical School and completed their internship at the Medical College of Wisconsin. Went on to finish his residency at St. Mary’s Hospital Medical Center and is currently affiliated with St. Mary’s Medical Center.

You will be able to have hands-on experience in the outpatient setting, including interacting with patients, taking medical histories, performing basic physical exams and observing diagnosis and treatment conditions. This attending has hosted rotations for FMG Portal students and graduates for over 17 years.

Rotation Description

Your rotation in Internal Medicine with FMG Portal will provide you with hands-on experience in diagnosing and managing a wide range of adult medical conditions under the supervision of your experienced attending physician.

Additionally, your performance during this rotation will lead to obtaining a US LOR, which is essential for your upcoming residency program applications.

Here’s a detailed overview of what you should expect to learn. Please note that all rotations will have variations of patients and may not include the entirety of the following:

Professional Development: 

  1. Communication Skills:
    Improving communication skills, including effectively explaining diagnoses and treatment plans to patients and their families.

    Practicing how to handle difficult conversations, such as discussing poor prognoses or delivering bad news empathetically.

  2. Time Management and Efficiency:

    Learning to manage a busy outpatient schedule, including balancing the need for thorough patient care with the realities of time constraints. Developing strategies for efficient documentation and follow-up care.

  3. Ethical and Professional Conduct:
    Upholding high standards of professionalism, including patient confidentiality, informed consent, and ethical decision-making.
    Cultivating a compassionate approach to patient care, building trust, and fostering long-term patient relationships.

Clinical Skills:

  1. Patient History and Physical Examination:
    Conducting comprehensive and focused patient interviews to gather detailed medical histories.

    Performing thorough and focused physical examinations tailored to the patient’s presenting complaints.

  2. Diagnostic and Management Skills:
    Ordering and interpreting appropriate laboratory tests, imaging studies, and other diagnostic procedures.
    Developing differential diagnoses and formulating evidence-based management plans for a wide range of conditions.

    Monitoring and adjusting treatments for chronic conditions such as hypertension, diabetes, hyperlipidemia, and asthma.

  3. Preventive Care and Health Maintenance:
    Emphasizing preventive medicine through vaccinations, screenings (e.g., mammograms, colonoscopies), and lifestyle counseling. Educating patients about diet, exercise, smoking cessation, and other lifestyle modifications to promote health and prevent disease.

Acute Care Skills:

  • Admission and Discharge: Learning the process of admitting patients to the hospital, including obtaining relevant history and formulating initial management plans. Also, understanding the discharge process and planning for post-hospitalization care.
  • Monitoring: Learning to monitor and manage patients in acute settings, including interpreting vital signs, laboratory results, and imaging studies to guide treatment decisions.
  • Discussion: Engaging in discussions about differential diagnoses, treatment options, and evidence-based
    medicine with the medical team.
By the end of your Internal Medicine outpatient rotation, you should be well-equipped with the foundational skills needed for managing a diverse patient population in an ambulatory setting, with a strong emphasis on preventive care, chronic disease management, and patient-centered communication.

Typical Activities/Procedures

Venipuncture
IV Line Placement
PFT/Spirometry
EKG
Basic Suturing
Removing Sutures/Staples
Administering Injections
ABG Sampling
Urinalysis
Joint Aspiration and Injection
Rectal Exam and Hemoccult Test
Cryotherapy
Nebulizer Treatment
Diabetic Foot Exam
Basic Ultrasound Techniques

Patient Appointments:

Conducting initial and follow-up appointments, managing acute and chronic conditions, and performing routine health maintenance.

Administrative Duties:
Completing patient charts and managing referrals and follow-ups.

Letter of Recommendation

LORs are on the official clinic letterhead. You may also ask the attending to include hospital affiliations on your LOR, and you can also mention them on your CV and Personal Statement.

Location & Schedule

*Exact address provided once signed up.
*Rotation is a minimum of 20hrs/week.
*Schedules change often and we recommend speaking with the office manager to have the most updated daily scheduling.

Mo 9AM - 5:00PM
Tu 9AM - 5:00PM
We 9AM - 5:00PM
Th 9AM - 5:00PM
Fr 9AM - 5:00PM
Sa Closed
Su Closed