The Acting Internship (AI) is an intensive, inpatient experience designed to provide the student with increased responsibilities for the assessment and management of patients. Students are integrated into the health care team and call schedule. During their AI, students assume ownership for the overall care of their assigned patients for the entire continuum of admission to discharge including transitions of care. In a closely supervised setting, the Acting Intern will experience the roles and responsibilities of an intern on the team.
The student will not participate in the longitudinal requirements (FHD) during this rotation, in order to focus their time on developing the important skills that will enable the student to transition to the intern role upon completion of medical school.
The AI will be expected to
- Write daily notes, perform H&Ps, discharge summaries where appropriate.
- Discuss and enter patient orders for a supervising physician to cosign.
- Triage cross-cover concerns where appropriate.
- Respond to calls (such as through paging) for patient care needs under the supervision of a physician.
- Perform patient care handovers under the supervision of a resident where appropriate.
- Assume ownership of a level of patient census closer to that of an intern. The student may start the 4-week rotation with approx. 2-3 patients and end the rotation with approx. 6-8. The AI should perform an independent assessment and formulate a workup and treatment plan for each patient.
Assessment in the AI
The final grade in the Immersion Phase the AI will be assigned as honors/high pass/pass/fail (H/HP/P/F). Immersion Phase grades will address performance in six separate, but equally important competency domains: Medical Knowledge, Patient Care, Interpersonal and Communication Skills, Practice-Based Learning and Improvement, Systems-Based Practice, and Professionalism. Grading of performance within each competency domain can be informed by a variety of assessment methods that will include milestone-based assessment (specifically, these eight milestones are utilized in all AIs) and four Entrustable Professional Activities (EPAs).
- EPA 4: Enter and discuss orders and prescriptions
- EPA 5: Document a clinical encounter in the patient record
- EPA 8: Give or receive a patient handover to transition care responsibility
- EPA 10: Recognize a patient requiring urgent or emergent care and initiate evaluation and management
For more information on the EPAs, please visit https://medschool.vanderbilt.edu/ume/core-entrustable-professional-activities.
Acting internships are offered from March through September. The majority of students will need to complete their acting internships prior to submission of their residency applications; however, this may not apply to all the fields of medicine. Students should discuss their optimal schedule with their portfolio coach.
|Course Director||Course No.||Course Name|
|Weaver, Eleanor||MED 5611||AI: Medicine, VU|
|Campbell, Ian||MED 5616||AI: Medicine, VAH|
|Bastarache, Julie||MED 5619||AI: Critical Care, VAH|
|Naftilan, Allen||MED 5961||AI: Cardiac Critical Care|
|Naftilan, Allen||MED 5623||AI: Cardiology|
|Garrison, Etoi||OBGN 5620||AI: Maternal Fetal Medicine|
|Curlin, Howard||OBGN 5645||AI: Operative Gynecology|
|Neely, Maya and Crook, Travis||PED 5611||AI: Pediatric Medicine|
|Gillam-Krakauer, Maria||PED 5815||AI: Neonatology|
|Benningfield, Margaret (Meg)||PSYCH 5639||AI: Inpatient Child & Adol Psych|
|Cowan, Ron||PSYCH 5655||AI: Addiction Psychiatry|
|Terhune, Kyla||SURG 5612||AI: Surgery, VAH|
|Poulose, Benjamin||SURG 5619||AI: GI/Lap Surgery|
|Geevarghese, Sunil||SURG 5628||AI: Hepatobiliary|
|Speck, K. Elizabeth||SURG 5665||AI: Pediatric Surgery|
|Bailey, Christina||SURG 5675||AI: Surgical Oncology|
|Guillamondegui, Oscar||SURG 5850||AI: Trauma|
Rotating at the VA
Students who rotate at the Veteran's Affairs Hospital need to initiate the process to gain computer access at least six weeks in advance of their rotation. Please turn in completed checklist and documents to Carol Clark at the VA (or 615-873-7769) for any courses; Pio Poe can assist for any courses in Medicine if students have questions or concerns.