The primary goal of the Acting Internship Selective is for the student to become practiced at being an Intern in a supervised setting. Placing an upper level student at an AHEC site facilitates the independence needed to develop these skills. You will not only report data gathered, but you will develop your own differential, evidence based treatment plan, and system for organizing the care process for your patient.
What the goal is: Act like an intern, get out of home ship of UNC!
What the goal is NOT: It is not to be specific to medicine, surgery, pediatrics, etc. The specific knowledge sets are not the primary goal of this rotation. You may ask, what does an AI rotation in surgery at WakeMed have in common with an AI rotation in pediatrics at Moses Cone?
The following expectations and competencies span this range and emphasize that the goals ARE the same: primarily the assumption of greater responsibility for patient care at a site away from the main campus of UNC.
What Makes the Acting Internship rotation different from a third year clerkship?
- Management: As an Acting Intern, you are expected to be able to develop a treatment plan based upon your history, physical exam, and targeted data. At the completion of your third year, you should be a proficient Reporter and Interpreter. As an Acting Intern and Intern you will become a Manager.
- Communication: As a third year, you began to develop the skills needed to communicate to patients, families, housestaff, faculty and other staff. As an Acting Intern, you will expand upon these skills to become efficient at communicating with consultants and colleagues, primary care providers, and consultants. You will learn to communicate the needs of your patients in the format of “Sign Out” to covering interns and residents. As a third year, you learned to summarize the findings from your history and physical exam in the written “write up” and oral presentation. As the AI, it is your responsibility to thoroughly but concisely summarize the hospital course in the form of a discharge summary.
- Learning: As a third year, you performed evaluations and write ups, researched assigned topics, answered prepared questions, and attended lectures. As an AI, you will begin the lifelong process of becoming a truly adult learner. You will begin to formulate questions based upon clinical dilemmas, research the appropriate literature and databases to find the answers, and apply the findings to your individual patients. You are on your way to being a resident, you will seek to learn not for the sake of a grade but in order to improve the quality of care you provide.
- Organization: As a third year, you were often given instructions on what needed to be done for the day. As an AI, you will formulate a plan and will need to organize your day in order to accomplish those goals. You will be responsible for developing a “To Do” list on your patients and ensuring that follow up and discharge plans fall into place.
- Responsibility: As an AI, you will learn the most by “owning” the patient.