Medicine Clerkship Doug Paauw,M.D. Clerkship Director

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Medicine ClerkshipDoug Paauw,M.D.Clerkship
Director
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Structure

• 12 week clerkship- 2/3 in hospital and 1/3 clinic
• Some pilot programs for more hospital time may be
  available
• Most Seattle sites have 3 four week blocks, one
  of which is in clinic
• WWAMI sites- generally 6 weeks WWAMI and 6 weeks
  in Seattle. WWAMI placement can be either first
  or second 6 weeks. Billings, Boise and Spokane
  offer 12-week tracks.

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Sample time tables
T E S T
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Seattle In-Patient Sites

• HMC - Call every 5th night with short call
• one senior resident, 2 interns, 2 students, 1
  sub-intern
• UWMC and VA - Call every 4th
• One senior resident, one intern, 1-2 students,
  1 sub-intern
• Virginia Mason Admit on average 2 out of 3 days
• Overnight call 2 days a month. One resident,
  1-2 interns, 1 student and hospitalist attending.

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Seattle Ambulatory Sites

• HMC, VA, UWMC University residency clinics with
  opportunities for home visits (VA), indigent care
  (HMC), virology (UW) Two students per site.
• UWPN Shoreline/Kent and Polyclinic one-on-one
  teaching by attending One student per site.

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WWAMI Sites with Residents

• Boise
• 2 months inpatient, I month clinic
• Call every 5th night with the resident/intern
  team. 4 6 students
• Madigan
• Fixed call days- Tues/Sat or Mon/Fri
• 1 senior resident 1-2 interns. Option for 1
  month inpatient, 1 month clinic. 2 4 students
• Spokane
• 2 months inpatient, I month clinic. Flexible
  call schedule. 4 students.

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WWAMI without Residents

• Wenatchee, WA
• 2 students private practice
• Subspecialty option
• Montesano, WA
• 2 students private practice
• 3 weeks with more hospital time

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WWAMI without Residents

• Douglas, WY
• 1 student private practice
• Jackson, WY
• 1 student private practice
• Sheridan, WY
• 2 students at Sheridan VA (mostly outpatient)

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WWAMI without Residents

• Anchorage, AK
• 1 student private practice (4 weeks inpatient/2
  weeks hospitalist). 1 student at Elmendorf
  (inpatient/outpatient)
• Soldotna, AK
• 1 student in rural practice/ lots of
  procedures/ICU experience

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WWAMI without Residents

• Billings, MT
• 1-2 students private practice
• Specialty exposure if you would like
• Dillon, MT
• 1 student rural private practice
• Lots of procedures
• Missoula, MT
• 1-2 students private practice
• 4 weeks outpatient/2 weeks hospitalist

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Didactics

• Weekly clerkship lecture in Seattle, Thursday
  AMs. Digitally taped for students at WWAMI.
• Clerkship Site Director didactics weekly
• Chief Medical Resident problem solving/physical
  diagnosis rounds
• Team lunch conferences, x-ray rounds, attending
  rounds

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Hours

• 4 days off per month while on Seattle/Boise/Spokan
  e in-patient rotation. Call is taken with your
  team.
• School of Medicine work hours policy No more
  than 80 hours of awake time in the hospital or
  clinic per week.
• Weekends are free on Seattle ambulatory block
• WWAMI very flexible call. Take call with your
  attending.
• Contact Student Program 4 6 weeks before start
  date for weekend (Sat./Sunday) time off request.

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What Do I Need?

• Pager Seattle students are expected to provide
  their own pager. Some WWAMI sites provide pagers
  (it is okay to check ahead of time).
• Credentialing paperwork. Pay close attention to
  forms required for your site. Forms are required
  to be submitted two weeks prior to your start
  date.
• Textbook (Internal Medicine Clerkship Guide,
  Paauw DS, Mosby 2003)
• Stethoscope
• WWAMI Laptop. Review WWAMI housing description
  on the clerkship website for details.

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Evaluation

• Clinical performance is evaluated by interns,
  residents and attendings.
• National Board of Medical Examiners Internal
  Medicine Subject exam in 2009.

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Contact Us 206-543-3237

• Doug Paauw MD
• Clerkship Director
• dpaauw_at_u.washington.edu
• Chris Knight, M.D.
• Associate Clerkship Director
• cknight_at_u.washington.edu
• Kellie Engle
• Program Administrator
• kaengle_at_u.washington.edu

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Questions?