MDC7123
Senior Family Medicine Acting Internship

Fourth Year Required
Medicine 2025-2026

Overview:

1. Senior required medicine at UF Health is a four-week inpatient medicine experience that fulfills the college of medicine requirement for an advanced inpatient medicine experience for fourth year students.
   
2. The course director is David Feller, MD, Associate Professor and Interim Program Director, Department of Community Health and Family Medicine (CHFM), University of Florida.
   
3. The required medicine rotation runs over a four-week period. Duty hours are from 06:00 to approx. 1800 each weekday, except when doing night float. One of the 4 weeks will constitute a 4 evening night float experience. You will choose the specific timing for the night float with the senior resident on the service.
   
4. Schedules for a typical week include check out rounds in conference room 6433 beginning at 06:00 am until 06:30. Rounds with Care Coordinator (Dispo planner) are from 08:00-08:30. Rounding with the team and attending follows directly afterward until noon. On Thursday am following dispo rounds, the team meets with the readmission group following dispo rounds. Afternoons are assigned to Emergency Department coverage, follow-up of inpatient issues, family conferences, performance of procedures as needed and further reading. Prior to leaving, students must check out their patients to the coverage team. On Wednesday afternoons, students are required to attend our Didactic Sessions from 1:30-5:00
   
5. Students are expected to work on holidays if that falls during their rotation unless given time off by the senior resident who is supervising their service. Students are not to work more than 80 hours per week, and have 10 hours off between shifts.
   
6. Students on required medicine at Shands UF are assigned to the resident teaching service. The faculty assigned to this service are ultimately responsible for supervision, feedback and final evaluation reports.
   
7. Students must document their patient interactions. A minimum of 12 patients with 12 different diagnoses are expected. If documentation is not completed, the student will receive an incomplete until it is done. Log your procedures in New Innovations-Logger-Log Procedures.
   
8. Students are expected to write notes on their patients that will be reviewed by their supervising residents and attendings. Residents are still expected to generate their own notes.
   
9. Any absences must be made up. Contact the course director to arrange the specifics.
   
10. Computer Requirement:
    
    Personal Laptops
    Personal laptops can be utilized in clinical spaces and should meet the computer requirements laid out by the College of Medicine (https://osa.med.ufl.edu/support/policies-procedures/computer-requirement/). While desktops are typically available on all clinical rotation sites it is recommended that you bring a personal laptop in case a desktop is not available. Laptops can be safely stored at UF Health GNV in lockers in the student lounge (North Tower Room 4207), lockers in the team rooms at the VA, and lockers in the Dr. Haley Medical Student Lounge at UF Health Jax (4th Floor Clinical Center).
    
    Learning Objectives:
    The competency categories addressed in this rotation include: patient care, medical knowledge, interpersonal and communication skills, professionalism and systems-based practice.
    i. Patient care: students will directly care for patients and will carry the primary responsibility for information gathering of historical data, physical examination both for the initial history and physical and daily updates. Students will recommend laboratory and imaging studies, clear these with supervising residents and attendings and write orders and progress notes daily. Students will participate in procedures with supervision of residents and attendings. Students will be evaluated based on direct observation of these activities, quality and legibility of notes and orders.
    ii. Medical knowledge: Students will be expected to discuss their patient’s medical issues on rounds and in conferences.
    iii. Interpersonal and Communication skills: Students will elicit histories from patients under direct observation of supervising residents and attendings and will receive feedback from both. Students will also be evaluated on their ability to present cases in a concise and cogent manner at morning report and on rounds with attendings. Students will also be encouraged to interact with private attendings in order to learn proper communication skills with physicians in a consultative framework. During the month, students will also interact with physical therapists, respiratory therapists, social workers and nurses and will be evaluated based on direct observation of these interactions. The evaluation of these activities will be summative on the final evaluation.
    iv. Professionalism: Students will be expected to be on time, attend all assignments and dress and carry themselves in a professional manner.
    v. Systems based practice: The student will be expected to use resources and recommend tests and interventions keeping in mind evidenced based medicine and cost-effective care. Students will also learn basic information concerning insurance issues including deductibles, and Medicare Parts A and B. Students will also be introduced to the concepts of Diagnosis Related Group (DRG’s) and Length of Stay (LOS), documentation and its impact on hospital care. The evaluation of this activity will be based on direct observation.
    vi. Practice improvement: The student will be required to read medical literature based on the patient issues of their patients. The student will be encouraged to use multiple sources of information including but not limited to textbooks, journals and web-based resources such as Up To Date.
    vii. Evaluation of this requirement will be based on direct observation on rounds and morning report and will be completed by supervising attendings on the final summative evaluation for the clerkship.
    

Reading Suggestions:

• Ferri’s Practical Guide, 9th Edition
• Fast Facts for Patient Care (Expert Consult – Online and Print By Fred F. Ferri, MD, FACP
  

MDC7123 CHFM Sub-I Sample Schedule

1. Senior Required Medicine at UF Health is a four-week inpatient medicine experience that fulfills the college of medicine requirement for an advanced inpatient medicine experience for fourth year students.
   
2. The required medicine rotation runs over a four-week period. Duty hours are from 06:00 to approx. 1800 each weekday, except when doing night float. One of the 4 weeks will constitute a 4-evening night float experience. You will choose the specific timing for the night float with the senior resident on the service.
   
3. Schedules for a typical week include check out rounds in conference room 6433 beginning at 06:00 am until 06:30. Rounds with Care Coordinator (Dispo planner) are from 08:00-08:30. Rounding with the team and attending follows directly afterward until noon. On Thursday am following dispo rounds, the team meets with the readmission group following dispo rounds. Afternoons are assigned to Emergency Department coverage, follow-up of inpatient issues, family conferences, performance of procedures as needed and further reading. Prior to leaving, students must check out their patients to the coverage team. On Wednesday afternoons, students are required to attend our Didactic Sessions from 1:30-5:00.
   
4. Students are expected to work on holidays if that falls during their rotation unless given time off by the senior resident who is supervising their service. Students are not to work more than 80 hours per week and have 10 hours off between shifts.