1. Welcome to the
Department of Medicine!
SI 270.2 Straight Internship in Medicine
Dr. Iris Thiele Isip Tan
Dr. Adrian Paul Rabe

2. A little history ...
Straight internship program in the 1980s before
the INTARMED program was established
Straight Interns were the JAPODs - term
survived even if straight internship program
was discontinued

3. A program in evolution...
Lesser students
More duties
More electives

4. SI 270.2 Straight Internship in Medicine
Course Description
Rotation in medicine and its subspecialties with
opportunities for self-directed learning and direct
patient care as junior admitting physicians
Refinement of knowledge and skills learned in LU 5 and LU 6 as
health practitioner, leader/manager, researcher, health educator and
social mobilizer
Education in medical informatics will be integrated in
the rotation
Instill the knowledge, skills and attitudes of information management

5. SI 270.2 Straight Internship in Medicine
Terminal Competencies
Recognize and diagnose common and some uncommon
medical problems/ diseases/ emergencies
Manage common and some uncommon medical problems/
diseases/ emergencies using sound clinical judgment, logical
decision-making strategies and evidence-based medicine
Completely document patientsʼ cases including the medical
history, physical examination, course of illness and
management plan
Submit a completed research work

6. SI 270.2 Straight Internship in Medicine
Terminal Competencies
Formulate a plan for patient education based on perceived
need
Demonstrate the proper attitudes and values of a humane
and community-oriented physician
Effectively communicate with patients, their caregivers and
colleagues
Demonstrate harmonious working and professional
relationships with other members of the health team
(superiors, peers, subordinates and paramedical personnel)
Acquire essential informatics skills

7. 44 weeks in Medicine
8 weeks in community rotation
ER (4 weeks)
OPD: General medicine, MICU (4 weeks)
Hypertension, Geriatrics,
Subspecialty clinics (not Wards (12 weeks)
covered by subspecialty
rotation)
OPD (8 weeks)
Mandatory subspecialties:
IDS, Endocrinology, Elective subspecialty
Cardiology, Pulmonology, (4 weeks)
Gastroenterology, Nephrology
Mandatory subspecialty
(12 weeks)

8. 4 weeks
Mon Tues Wed Thurs Fri Sat Sun
AM
Pre- Post- Pre- Post-
Pre-
duty 24-h duty duty 24-h duty
duty
(7 am- DUTY (Day (7 am- DUTY (Day
(7 am-
7 pm) off) 7 pm) off)
PM 7 pm)
ER Rotation
On pre-duty day, decked 2 old patients to manage
On duty day, decked 2-3 new patients (1 patient every shift)
and 1-2 old patients to manage
Maximum patients allowed: 5
No continuity clinic; only one duty intern per day

9. MICU
Last 2 weeks: one Straight Internʼs hour (case management
conference) per week
Mon Tues Wed Thurs Fri Sat Sun
A
M Endorse Endorse Endorse Endorse Endorse
Endorse
ment ment ment ment ment
ment rounds
rounds rounds rounds rounds rounds
P
Audit/ R
Ward E Ward
Ward work Ward work Grand Ward work
work D work
Rounds U
Ward TY
P MICU MICU Team P MICU work
R D MICU R D
Subspec Captain Ward Subspec
E U Subspec E U
D rounds T rounds D work T rounds
Y
rounds
U U Y
TY Blood bank Blood bank TY Blood bank
P screening screening screening
M
Ward Ward
work Straight work
Ward work Ward work
Intern’s hour TIME OFF
TIME
OFF
Endorse Endorse Endorse Endorse
Endorse
ment ment ment ment
ment rounds
rounds rounds rounds rounds

10. 12 weeks divided
into 4-week blocks
Ward rotation
1st week of 1st 4-week block: JAPOD
Decked 2 old service patients to manage under direct
supervision by senior medical resident (countersigns all
orders) and service consultant
APOD duty: decked 2 new patients to manage
During duty, will manage decked patients at ER while
awaiting admission under direct supervision by ER medical
resident
WAPOD duty: answer all ward referrals under direct
supervision by ward resident

11. Mon Tues Wed Thurs Fri Sat Sun
Endorse Endorsement Endorse
Endorsement Endorsement conf Endorse
ment conf ment conf
conference conf ment conf
Audit
A Service conference/
24
Ward work Ward work Grand Rounds Ward work Ward work Ward
M rounds h 24 work
h
W Ward work A
Endorse
Ward work A
Consultant
Service P
Consultant ment
P O
O rounds rounds Service rounds D rounds rounds
D
D
D Ward Work U
U TY
Ward Work TY Ward Work Ward Work Ward Work
Continuity
P TIME TIME
clinic
M OFF OFF
Endorse
Endorsement Endorse Endorsement Endorsement
ment
rounds ment rounds rounds rounds
rounds
Attend continuity clinic
Submit two case write-ups per block of rotation
(comprehensive discussion with appended literature review)

12. 8 weeks divided
into 4-week blocks
OPD rotation
Mainly general medicine clinic
May substitute 10 half-days with consultantsʼ private clinics
4 half-days each
Geriatrics
Hypertension
Subspecialty clinics (not covered by mandatory/elective
rotations)

13. 8 weeks divided
into 4-week blocks
OPD rotation
Attend continuity clinic
Go on duty: ER, SCU-POD, SAPOD
ECG reading
Week 1-2 of first 4-week block: ECG reading homework
Remaining weeks: Decked 5 ECGs to read after every OPD
day, counter-signed by medical resident

14. Night Duties
OPD/Subspecialty rotations (24 weeks)
7 pm to 7 am
4 weeks: ER duty
4 weeks: Pay duty
8 weeks: SAPOD duty
8 weeks: SCU-POD duty
Post-duty status: May go home after 12 nn

15. 16 weeks
Subspecialty rotation
12 weeks mandatory rotation
IDS, Nephrology, Cardiology, Endocrinology,
Gastroenterology, Pulmonology
4 weeks elective rotation
4 one-week blocks, 2 two-week blocks, one 2-week block
and 2 1-week blocks
Allergy, Adult Medicine, Medical Oncology, Rheumatology,
Hematology, Neurology

16. 16 weeks
Subspecialty rotation
Consultant buddy
Signs learning contract, gives end-of-rotation grades, goes
on pay rounds
Learning contract for each rotation
Sectionʼs blueprint PLUS what youʼd like to do
Continuity clinic
Night duties: ER, Pay, SCU-POD, SAPOD

17. Google Group
Feel free to post - letʼs document the journey
Main mode of submissions for requirements -
I hate paper!
Research
Patient log
Venue for announcements

18. Logbook
Document attendance
Document all patient encounters
Cannot upload patient log with identifiers

19. Research
Research adviser
Milestones
Week 11: completed research proposal
Week 22: progress report
Week 33: preliminary report
Week 44: final research paper

20. Informatics sessions
Baseline computer BIBUS (open source
bibliographic software)
literacy survey
PDA use in medicine
Monthly brown bag/lunch
Evaluating medical information
sessions (lecture/demo) on the Internet
Discuss results of computer Patient resources on the
literacy survey Internet
Introductory lecture on health Decision support tools
informatics
Continuing medical education
Literature search using PubMed on the internet
(mobile access to PubMed)
Basic database operations

21. The program is what YOU make it!
Just ask and you can ...
Have more patients
Do procedures
Attend subspecialty conferences/conventions
Go to consultantsʼ private clinics (near PGH)

22. A little about
myself ...

23. A little about
myself ...
Anything
you’d like to
tell me?

24. Thank You
+639285030986
isiptan@gmail.com
http://www.endocrine-witch.info