Welcome to your fourth year medicine sub-internship at Lankenau
Hospital. Our goal is to provide you with as close to a real “intern”
experience as possible so you develop the clinical skills and confidence
to become an outstanding house officer. Your duties will include but are
not limited to:
Performing full detailed histories and physical exams
Developing assessments, differential diagnoses, and treatment
Daily detailed progress notes
Attending various medical lectures and conferences
Presenting on daily rounds to your attending and residents
Carry 4 to 5 patients at one time
Enter orders for your patients
Discuss and present your patient to consultants
The most important thing is that you know your patients extremely well
and provide excellent patient care. You will also learn the
organizational skills that it takes to be a strong resident next year.
You should actively read about your patients’ disease processes and
always ask questions when you are not sure of something.
Our system here at Lankenau Hospital consists of 8 geographically-based
medical services. You will each be assigned to a floor-based team
consisting of one resident, one intern, and one third year medical
student. You will have one attending on your service that is responsible
for your teaching and evaluations; they are the “team leaders”. Each
team may have patients who are assigned to private attendings, thus the
“team leader” attending is not responsible for their care. You
occasionally may have a patient of a private attending, especially if it
is a good learning case. While it is important to recognize you are part
of a team you will be working mostly with your intern. They should be
supervising your work and helping you place any orders that you write.
Daily Schedule and Call
You will be expected to arrive to the hospital between 6:30–6:45 am to
start your day. Upon arrival you will go to your assigned conference
room to pick up your sign out from the night float intern as well as any
new admissions from the night float resident. You should round on your
patients and write your progress notes between generally 7–9:45 am. Each
team will have case management rounds between 9:45 am and 10 am. Bedside
teaching rounds will take place between 10 am–12 pm. There will be daily
noon conference taking place between 12–1 pm in the Annenberg building.
You should be excused from rounds to attend these as well as all other
teaching conferences. During the afternoon you will be responsible for
following up on studies and consults your patient may have had, as well
as new admissions which may come in after 12 pm. On regular days you
will be available to take admissions until 3:30 pm. You will take “long
call” every fourth day along with your intern and admit new patients
until 8 pm. You are expected to take call on one Saturday and one Sunday
during your rotation, again following the call schedule of your intern.
You do not have to come in on your post-call day on the weekends. You must
sign out your patients every day to either the on call intern (during
regular days) or the night float intern (during long call days).
Conferences and Rounds
Resident morning report takes place every morning at 7:45 am or 8 am in
the Figueroa Conference Room in the Annenberg Building. This conference
is optional, however attendance is encouraged as your floor work load
allows. You should attend Intern Report every Thursday afternoon at 12
pm in the McLean conference room in the Annenberg building.
Grand Rounds and M & M
Grand rounds are held in the hospital auditorium at 8am every Friday
morning. You should attend the post grand round conference at 9:30 am in
the McLean Conference room each Friday (you are excused from the
beginning of rounds). Morbidity and Mortality conferences are held every
second Wednesday of the month in the hospital auditorium (except July
4th Year Report
This year you will have bi-weekly small group lectures and case
presentations. You will find the schedule for this month’s meetings
attached. Generally these sessions will be held at 2 pm on Tuesdays and
1 pm on Thursdays, excluding one monthly conference with Dr. Cohen at
7:30 am. You may be randomly scheduled to present a patient you have
encountered on one of the Thursday conferences for a case-based
You will be evaluated during this rotation by your team attending and
intern. You will be provided with an evaluation form which you should
hand to each person prior to completion of your rotation. You should be
receiving feedback throughout your rotation, and more specifically
should ask for a mid-rotation feedback session with your evaluators.
For more information, call 1.866.CALL.MLH.